Active NPI
Methow Valley Home Health Agency
Doing business as Aero Methow Rescue Service
- Land Ambulance
- Twisp, WA
National Provider Identifier
1669479119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 24X01
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079815001 | Other | WA | GROUP HEALTH COOP |
| ARMRE01091-58655 | Other | WA | MSC PROVIDER # |
| GA0008 | Other | WA | WV MEDICAL CENTER |
| 222066222066 | Other | WA | PREMERA BLUE CROSS |
| 119292700 | Other | US DOL | |
| 9162504 | Medicaid | WA | |
| 0012524 | Other | WA | DEPT. OF LABOR & INDUSTRI |
Other names 1
- Aero Methow Rescue Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111215000764 | WA | Part B Supplier - Ambulance Service Supplier | 5597930719 | Practice locations: Twisp, WA |
National Provider Directory
National Provider DirectoryLocations
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.