Organization Active NPI

Methow Valley Home Health Agency

Doing business as Aero Methow Rescue Service

  • Land Ambulance
  • Twisp, WA
National Provider Identifier
1669479119
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
24X01 Issued in WA
Legal business name
METHOW VALLEY HOME HEALTH AGENCY
Doing business as
Aero Methow Rescue Service
Practice address
1005 Hwy 20 East
Twisp, WA 98856
Phone
(509) 997-4013
Fax
(509) 997-4005
NPI assigned
Jun 30, 2005
Last updated
Nov 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Ms. Cynthia Button, PARAMEDIC
Title
Director of Services
Phone
(509) 997-4013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 24X01 WA Primary

Addresses

Primary practice location

1005 Hwy 20 East
Twisp, WA 98856

Mailing address

PO Box 66
Twisp, WA 98856-0066
Phone (509) 997-4013

Other identifiers 7

IdentifierTypeStateIssuer
079815001OtherWAGROUP HEALTH COOP
ARMRE01091-58655OtherWAMSC PROVIDER #
GA0008OtherWAWV MEDICAL CENTER
222066222066OtherWAPREMERA BLUE CROSS
119292700OtherUS DOL
9162504MedicaidWA
0012524OtherWADEPT. OF LABOR & INDUSTRI

Other names 1

  • Aero Methow Rescue Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111215000764 WA Part B Supplier - Ambulance Service Supplier 5597930719 Practice locations: Twisp, WA

National Provider Directory

National Provider Directory

Locations

1005 Hwy 20 E
Twisp, WA 98856
Phone (509) 997-4013

1005 Hwy 20 E
Twisp, WA 98856
Phone (509) 997-4013

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1669479119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "TWISP",
            "state": "WA",
            "postal_code": "988560066",
            "telephone_number": "509-997-4013",
            "fax_number": "509-997-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 HWY 20 EAST",
            "city": "TWISP",
            "state": "WA",
            "postal_code": "98856",
            "telephone_number": "509-997-4013",
            "fax_number": "509-997-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHOW VALLEY HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "BUTTON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "DIRECTOR OF SERVICES",
        "authorized_official_telephone_number": "509-997-4013",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "24X01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH COOP",
            "identifier": "079815001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MSC PROVIDER #",
            "identifier": "ARMRE01091-58655",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV MEDICAL CENTER",
            "identifier": "GA0008",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BLUE CROSS",
            "identifier": "222066222066",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DOL",
            "identifier": "119292700",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9162504",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR & INDUSTRI",
            "identifier": "0012524",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aero Methow Rescue Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Twisp, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.