City of Pullman

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

38M10 Issued in WA

Legal business name

CITY OF PULLMAN

Practice address

620 S Grand Ave
Pullman, WA 99163-2135

Phone

(509) 332-8172

NPI assigned

Jan 4, 2007

Last updated

Sep 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeff Elbracht

Title

Director of Finance

Phone

(509) 338-3212

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• CITY OF PULLMAN AMBULANCE Other name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1689721250",
    "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": "800-238-9398",
            "fax_number": "360-394-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S GRAND AVE",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991632135",
            "telephone_number": "509-332-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PULLMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "ELBRACHT",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "509-338-3212"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "38M10",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "5900046717",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID STATE INS FUND",
            "identifier": "1001033",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G000300230",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003314200",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER #",
            "identifier": "28606",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "243081400",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I CRIME VICTIMS",
            "identifier": "8911082",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9177908",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITY OF PULLMAN AMBULANCE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kelsey Louaine Cherepuschak, M.D.
• Jack Chiang, DDS
• Kasidy Grace Chileen, AU.D.
• Seokjae Choe, ATC
• Jennifer Karmun Chu, D.D.S
• Katelyn Claassen
• Stefanie Clark, LMT
• Nicole Clements, ATC, LAT
• Mark Daniel Cleven, PT, ATC
• Cheyenne Cochran

• Land Ambulance in Pullman, WA
• Providers in Pullman, WA by specialty
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.