City of Kennewick

Primary specialty

AmbulanceTaxonomy code 341600000X

License

03M02 Issued in WA

Legal business name

CITY OF KENNEWICK

Practice address

210 W 6TH Ave
Kennewick, WA 99336-5649

Phone

(509) 585-4379

Fax

(505) 585-4254

NPI assigned

Sep 16, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Lynne C Brown

Title

Accounting Supervisor

Phone

(509) 585-4263

Specialties & licenses 2

Addresses

Other identifiers 7

Other names 1

• City of Kennewick Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Prause, DC

  • Chiropractor
  • Kennewick, WA
  • NPI 1659937464
  NPD

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1477548253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6108",
            "address_2": "210 W 6TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365649",
            "telephone_number": "509-585-4379",
            "fax_number": "509-585-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W 6TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365649",
            "telephone_number": "509-585-4379",
            "fax_number": "505-585-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF KENNEWICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ACCOUNTING SUPERVISOR",
        "authorized_official_telephone_number": "509-585-4263",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WA",
            "license": "03M02",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "03M02",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590004614",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6153602",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8906318",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103705",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "16689",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9153602",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "16689",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Kennewick Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caleb Richard Chumney
• Hoan Chung, ND
• Jacob S Churchill, CPC
• Lisa Maureen Ciabattoni, DMD
• Jose Alexis Cisneros Mendoza
• Teresita A Clar de Jesus, MD
• Claridhi Counseling PLLC
• Delaney Jo Clark
• Janice Searle Clark, RN
• Jill Clark, RN

• Ambulance in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.