City of Ilwaco
Organization Active NPI Land Ambulance · Ilwaco, WA
NPI 1609501931 · NPPES record last updated Oct 27, 2023
Key facts
- NPI
- 1609501931
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- CITY OF ILWACO
- Practice address
- 301 Spruce St E
Ilwaco, WA 98624-9177 - Phone
- (360) 642-3188
- NPI assigned
- Jul 20, 2022
- Organization subpart
- No
Authorized official
- Name
- Jeff Archer, FIRE CHIEF
- Title
- Fire Chief
- Phone
- (360) 518-7814
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230803003757 | WA | Part B Supplier - Ambulance Service Supplier | 2567823743 | Practice locations: Ilwaco, WA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
301 Spruce St E
Ilwaco, WA 98624-9177
Mailing address
PO Box 584
Ilwaco, WA 98624-0584
Phone (360) 642-3145
Other names
- Ilwaco Fire Department
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Fireadmin@ilwaco-wa.gov | systems design |
Other providers in Ilwaco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.