Organization Active NPI

Olympic Ambulance Service Inc.

Doing business as Olympic Oxygen Service

  • Oxygen Equipment & Supplies (DME)
  • Sequim, WA
National Provider Identifier
1518176742
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
05X03 Issued in WA
Legal business name
OLYMPIC AMBULANCE SERVICE INC.
Doing business as
Olympic Oxygen Service
Practice address
540 W Hendrickson Rd
Sequim, WA 98382-3013
Phone
(360) 681-4482
Fax
(360) 681-7461
NPI assigned
May 22, 2007
Organization subpart
Yes
Parent organization
OLYMPIC AMBULANCE SERVICE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Authorized official

Name
Mr. Todd A McClain
Title
Director of Operations
Phone
(360) 681-4482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 05X03 WA Primary

Addresses

Primary practice location

540 W Hendrickson Rd
Sequim, WA 98382-3013

Mailing address

601 W Hendrickson Rd
Sequim, WA 98382-3015
Phone (360) 681-4482

Other identifiers 1

IdentifierTypeStateIssuer
9056094MedicaidWA

Other names 1

  • Olympic Oxygen Service Doing business as

National Provider Directory

National Provider Directory
Part of
Aa Ambulance Inc

Locations

2502 Cherry Pl
Bremerton, WA 98310
Phone (360) 377-7777

1205 Ruddell Rd SE
Lacey, WA 98503
Phone (360) 459-5666

4511 Lacey Blvd SE
Lacey, WA 98503
Phone (360) 459-5666

1011 E Front St
Port Angeles, WA 98362
Phone (360) 452-7445

1101 E FRNT St
Port Angeles, WA 98362
Phone (360) 482-7445

313 Tumwater Truck Rd
Ste 29
Port Angeles, WA 98363
Phone (360) 683-3350

1950 Pottery Ave
Ste 194
Port Orchard, WA 98366
Phone (360) 683-3350

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1518176742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W HENDRICKSON RD",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823015",
            "telephone_number": "360-681-4482",
            "fax_number": "360-681-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W HENDRICKSON RD",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823013",
            "telephone_number": "360-681-4482",
            "fax_number": "360-681-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC AMBULANCE SERVICE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLYMPIC AMBULANCE SERVICE INC.",
        "enumeration_date": "2007-05-22",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "360-681-4482",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "WA",
            "license": "05X03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9056094",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Oxygen Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 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.