City of Mukilteo

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

AMBV.ES.00000643 Issued in WA

Legal business name

CITY OF MUKILTEO

Practice address

10400 47TH PL W
Mukilteo, WA 98275

Phone

(425) 263-8150

NPI assigned

Aug 31, 2006

Organization subpart

Yes

Parent organization

CITY OF MUKILTEOAs reported in NPPES

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

Authorized official

Name

Christopher Wetherbee Alexander

Title

Fire Chief

Phone

(425) 263-8150

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Part of

City of Mukilteo

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1699886408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 47TH PL W",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "98275",
            "telephone_number": "425-263-8150",
            "fax_number": "425-348-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 47TH PL W",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "98275",
            "telephone_number": "425-263-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MUKILTEO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF MUKILTEO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "WETHERBEE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "425-263-8150"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "31M11",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "AMBV.ES.00000643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9038597",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "CI4168",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "051767",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Chavez
• Maggie Chou, M.D.
• Maria Candy T Chua
• Joanne Chung, PA
• Marissa N Churchill, MOT, OTR/L
• Susan L Clark, MD
• Darrell Eugene Cline, DDS
• CMR Chiropractic, PLLC
• Cassandra Cohen
• Tessa Commers

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.