Active NPI
Lewis County
Doing business as Salkum Ambulance
- Land Ambulance
- Salkum, WA
National Provider Identifier
1710024294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 21D08
- Legal business name
- LEWIS COUNTY
- Doing business as
- Salkum Ambulance
- Practice address
- 2490 U.S. Hwy 12
Salkum, WA 98582 - Phone
- (360) 985-2828
- Fax
- (360) 985-7475
- NPI assigned
- Jan 31, 2007
- Last updated
- Feb 12, 2008
- Organization subpart
- Yes
- Parent organization
- LEWIS COUNTY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Linda A. Wolfe
- Title
- Billing Agent
- Phone
- (360) 262-3320
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 21D08 | WA | Primary |
Addresses
Primary practice location
2490 U.S. Hwy 12
Salkum, WA 98582
Mailing address
PO Box 259
Napavine, WA 98565-0259
Phone (360) 262-3320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9140807 | Medicaid | WA |
Other names 1
- Salkum Ambulance
National Provider Directory
National Provider Directory- Part of
- Mossyrock Emergency Ser
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202774400000",
"number": "1710024294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 259",
"city": "NAPAVINE",
"state": "WA",
"postal_code": "985650259",
"telephone_number": "360-262-3320",
"fax_number": "360-262-3893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2490 U.S. HWY 12",
"city": "SALKUM",
"state": "WA",
"postal_code": "98582",
"telephone_number": "360-985-2828",
"fax_number": "360-985-7475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEWIS COUNTY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LEWIS COUNTY",
"enumeration_date": "2007-01-31",
"last_updated": "2008-02-12",
"status": "A",
"authorized_official_last_name": "WOLFE",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "BILLING AGENT",
"authorized_official_telephone_number": "360-262-3320",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WA",
"license": "21D08",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9140807",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Salkum Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Salkum, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.