NPIMap

Organization Active NPI

Skagit County EMS Commission

  • Land Ambulance
  • Sedro Woolley, WA
National Provider Identifier
1568459170
Registry record updated Jul 8, 2011
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Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
29X07 Issued in WA
Legal business name
SKAGIT COUNTY EMS COMMISSION
Practice address
2015 Hospital Dr
Unit a
Sedro Woolley, WA 98284-4327
Phone
(360) 856-7152
NPI assigned
Sep 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Authorized official

Name
Jada Trammell
Title
Office Manager
Phone
(360) 856-7152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 29X07 WA Primary

Addresses

Primary practice location

2015 Hospital Dr
Unit a
Sedro Woolley, WA 98284-4327

Mailing address

PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7030

Other identifiers 6

IdentifierTypeStateIssuer
0167740OtherWADEPT. OF LABOR & INDUSTRY
8820SKOtherWAREGENCE BLUESHIELD
9053075MedicaidWA
216801216801OtherWAPREMERA BLUE CROSS
8933466OtherWACRIME VICTIMS
81-02109OtherWASECURE HORIZONS DIRECT

Other names 1

  • SKAGIT COUNTY MEDIC ONE Other name

National Provider Directory

National Provider Directory

Locations

2911 E College Way
Ste C
Mount Vernon, WA 98273
Phone (360) 428-3230

2015 Hospital Dr
#A
Sedro Woolley, WA 98284
Phone (360) 856-7152

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1568459170",
    "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": "360-394-7030",
            "fax_number": "360-394-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 HOSPITAL DR",
            "address_2": "UNIT A",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982844327",
            "telephone_number": "360-856-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAGIT COUNTY EMS COMMISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "TRAMMELL",
        "authorized_official_first_name": "JADA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-856-7152"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "29X07",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR & INDUSTRY",
            "identifier": "0167740",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD",
            "identifier": "8820SK",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9053075",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BLUE CROSS",
            "identifier": "216801216801",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8933466",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURE HORIZONS DIRECT",
            "identifier": "81-02109",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SKAGIT COUNTY MEDIC ONE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sedro Woolley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.