Organization Active NPI

Olympic Ambulance Service Inc.

  • Land Ambulance
  • Sequim, WA
National Provider Identifier
1467488577
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
05X03 Issued in WA
Legal business name
OLYMPIC AMBULANCE SERVICE INC.
Practice address
601 West Hendrickson Road
Sequim, WA 98382
Phone
(360) 683-3350
Fax
(360) 582-9824
NPI assigned
Jun 23, 2006
Organization subpart
Yes
Parent organization
OLYMPIC AMBULANCE SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wendy L Black
Title
Billing Manager
Phone
(360) 683-3350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 05X03 WA Primary

Addresses

Primary practice location

601 West Hendrickson Road
Sequim, WA 98382

Mailing address

601 West Hendrickson Road
Sequim, WA 98382
Phone (360) 683-3350

Other identifiers 1

IdentifierTypeStateIssuer
9243304MedicaidWA

National Provider Directory

National Provider Directory
Part of
Aa Ambulance Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

601 W Hendrickson Rd
Sequim, WA 98382
Phone (360) 683-3350

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1467488577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WEST HENDRICKSON ROAD",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "98382",
            "telephone_number": "360-683-3350",
            "fax_number": "360-681-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WEST HENDRICKSON ROAD",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "98382",
            "telephone_number": "360-683-3350",
            "fax_number": "360-582-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC AMBULANCE SERVICE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLYMPIC AMBULANCE SERVICES INC",
        "enumeration_date": "2006-06-23",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "360-683-3350"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "05X03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9243304",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sequim, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.