City of Moses Lake

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

13MO8 Issued in WA

Legal business name

CITY OF MOSES LAKE

Practice address

701 E 3Rd Ave
Moses Lake, WA 98837-5904

Phone

(509) 765-2204

Fax

(509) 765-2291

NPI assigned

Jun 16, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Thomas H Taylor

Title

Fire Chief

Phone

(509) 765-2204

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1497750434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1579",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988370244",
            "telephone_number": "509-765-2204",
            "fax_number": "509-765-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 3RD AVE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988375904",
            "telephone_number": "509-765-2204",
            "fax_number": "509-765-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MOSES LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "509-765-2204",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "13MO8",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9051855",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shuhong Chen
• Susan Joan Chinworth-Martig, C.R.N.A.
• Troy Christensen
• Natalie Christopherson
• Judith Laverne Cisneros
• Cityview
• Brianna Clark, NP
• Jordan D Clement, DO
• Reuben N Clements, ATC
• Gary Dean Clinton, A.T.,C.

• All providers in Moses Lake, WA
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.