City of Walla Walla

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

36M04 Issued in WA

Legal business name

CITY OF WALLA WALLA

Practice address

170 N Wilbur Ave
Walla Walla, WA 99362-2548

Phone

(509) 529-4083

Fax

(509) 529-0694

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Fred Hector

Title

Deputy Chief of EMS

Phone

(509) 524-4630

Specialties & licenses 1

Addresses

Other identifiers 7

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": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1720004112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 N WILBUR AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622548",
            "telephone_number": "509-529-4083",
            "fax_number": "509-529-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N WILBUR AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622548",
            "telephone_number": "509-529-4083",
            "fax_number": "509-529-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WALLA WALLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "HECTOR",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "DEPUTY CHIEF OF EMS",
        "authorized_official_telephone_number": "509-524-4630",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "36M04",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INVOLUNTARY",
            "identifier": "ITA9023839",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIM PROVIDER NUM",
            "identifier": "8901205",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON L&I",
            "identifier": "12755",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE WORKERS COMP",
            "identifier": "193657900",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590161247",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9150509",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MEDICAID",
            "identifier": "029454",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lee Christenson, ARNP
• Ricky Christenson
• Aaron B. Christopher, DMD, MSD
• Stephen S Chung, MD
• Felipe Cieza, PA-C
• Sherri Claiborne
• Jon Dean Claridge, PA-C
• Michael J Clark, PT
• Sylvia A. Clark, LMP
• Kaysie Clayton, CF-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.