City of Bremerton

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

18M01 Issued in WA

Legal business name

CITY OF BREMERTON

Practice address

911 Park Ave
Bremerton, WA 98337-1550

Phone

(360) 473-5380

NPI assigned

Feb 10, 2006

Organization subpart

No

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

Authorized official

Name

Patrick Michael McGanney

Title

Fire Chief

Phone

(360) 473-5381

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Bremerton Fire Department 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": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1750354536",
    "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": "360-394-7020",
            "fax_number": "360-394-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 PARK AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983371550",
            "telephone_number": "360-473-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BREMERTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "MCGANNEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "360-473-5381"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "18M01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "193655101",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9031899",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0062058",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590006510",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "BR0004",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bremerton Fire Department",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Bremerton Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Benjamin Scott Chudner, OD
• Terry Chun, MD
• Hannah Cianciolo
• Marie M Ciliberto, ARNP
• Jordan Cimilluca, DDS
• Laura Marie Ciulla, RN
• Natalie J Claassen
• Faith Claman, NP
• Chantelle Clampitt
• Alexandria Clark

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.