Organization Active NPI

Town of Rosalia Ambulance Services

Doing business as Rosalia Ambulance

  • Ambulance
  • Rosalia, WA
National Provider Identifier
1467674036
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
38M11 Issued in WA
Legal business name
TOWN OF ROSALIA AMBULANCE SERVICES
Doing business as
Rosalia Ambulance
Practice address
607 South Whitman Ave
Rosalia, WA 99170
Phone
(509) 523-3151
Fax
(509) 523-2302
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Authorized official

Name
Ronald James Willey
Title
Ambulane Coordinator
Phone
(509) 523-3151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 38M11 WA Primary

Addresses

Primary practice location

607 South Whitman Ave
Rosalia, WA 99170

Mailing address

607 South Whitman Ave
Rosalia, WA 99170
Phone (509) 523-3151

Other identifiers 1

IdentifierTypeStateIssuer
91215303MedicaidWA

Other names 1

  • ROSALIA AMBULANCE Doing business as

National Provider Directory

National Provider Directory

Locations

607 S Whitman Ave
Rosalia, WA 99170
Phone (509) 523-3151

110 W Fifth St
Rosalia, WA 99170
Phone (509) 523-5991

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1467674036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 SOUTH WHITMAN AVE",
            "city": "ROSALIA",
            "state": "WA",
            "postal_code": "99170",
            "telephone_number": "509-523-3151",
            "fax_number": "509-523-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 SOUTH WHITMAN AVE",
            "city": "ROSALIA",
            "state": "WA",
            "postal_code": "99170",
            "telephone_number": "509-523-3151",
            "fax_number": "509-523-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF ROSALIA AMBULANCE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "WILLEY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "AMBULANE COORDINATOR",
        "authorized_official_telephone_number": "509-523-3151"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WA",
            "license": "38M11",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91215303",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROSALIA AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rosalia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.