NPIMap

American Medical Response Ambulance Service Inc

Organization Active NPI Ambulance · Spokane, WA

NPI 1770518490 · NPPES record last updated Jul 11, 2024

Key facts

NPI
1770518490
Entity type
Organization (NPI type 2)
Primary specialty
Ambulance 341600000X
Legal business name
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE INC
Practice address
1425 N Washington St
Spokane, WA 99201-2437
Phone
(509) 323-8825
NPI assigned
Jul 11, 2006
Organization subpart
No

Authorized official

Name
Timothy Joseph Dorn
Title
Chief Administrative Officer
Phone
(833) 703-2294

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 17

Organizations that report the same tax identification number in the National Provider Directory.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20051006000469 WA Part B Supplier - Ambulance Service Supplier 8729992615 6 other NPIs on this enrollment
Practice locations: Yakima, WA; Tukwila, WA; Spokane, WA; Olympia, WA; Centralia, WA; Richland, WA

National Provider Directory

Tax ID family
Med Trans of Montana (18 organizations share this tax ID)

Locations

1425 N Washington St
Spokane, WA 99201
Phone (509) 323-8825

915 W Sharp Ave
Spokane, WA 99201
Phone (509) 328-6161

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Yes
Land Ambulance 3416L0300X

Addresses

Primary practice location

1425 N Washington St
Spokane, WA 99201-2437

Mailing address

PO Box 749667
Los Angeles, CA 90074-9667
Phone (800) 913-9106

Other names

  • American Medical Response Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 11, 2024.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1770518490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749667",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900749667",
            "telephone_number": "800-913-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N WASHINGTON ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012437",
            "telephone_number": "509-323-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "DORN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "833-703-2294"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Medical Response",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "American Medical Response",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

All providers in Spokane, WA · Ambulance in Washington

Sources for this page

Verify at the official NPI Registry.