Organization Active NPI

Town of Wilbur

  • Land Ambulance
  • Wilbur, WA
National Provider Identifier
1487645479
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
22MO8 Issued in WA
Legal business name
TOWN OF WILBUR
Doing business as
Town of Wilbur
Practice address
214 N W Division St
Wilbur, WA 99185
Phone
(509) 647-5821
Fax
(509) 647-2047
NPI assigned
Oct 31, 2005
Last updated
Sep 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Melissa Dawn Bulger
Title
Clerk/Treasurer
Phone
(509) 647-5821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 22MO8 WA Primary

Addresses

Primary practice location

214 N W Division St
Wilbur, WA 99185

Mailing address

PO Box 3510
Silverdale, WA 98383-3510
Phone (800) 238-9398

Other identifiers 2

IdentifierTypeStateIssuer
9166307MedicaidWA
8030348MedicaidWA

Other names 1

  • Town of Wilbur Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120321000089 WA Part B Supplier - Ambulance Service Supplier 2466612999 Practice locations: Wilbur, WA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1487645479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3510",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983833510",
            "telephone_number": "800-238-9398",
            "fax_number": "360-394-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N W DIVISION ST",
            "city": "WILBUR",
            "state": "WA",
            "postal_code": "99185",
            "telephone_number": "509-647-5821",
            "fax_number": "509-647-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WILBUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "BULGER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "CLERK/TREASURER",
        "authorized_official_telephone_number": "509-647-5821"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "22MO8",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9166307",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8030348",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Wilbur",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilbur, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.