Active NPI
Makah Tribe
- Land Ambulance
- Neah Bay, WA
National Provider Identifier
1801180849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 05X04
- Legal business name
- MAKAH TRIBE
- Doing business as
- Neah Bay Ambulance
- Practice address
- 141 2ND Ave
Neah Bay, WA 98357 - Phone
- (360) 645-2481
- NPI assigned
- Jun 7, 2011
- Organization subpart
- Yes
- Parent organization
- MAKAH TRIBE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dan S Druge
- Title
- EMS Coordinator
- Phone
- (360) 645-2481
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 05X04 | WA | Primary |
Addresses
Primary practice location
141 2ND Ave
Neah Bay, WA 98357
Mailing address
PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0280821 | Other | WA | L&I AND CRIME VICTIMS |
Other names 1
- Neah Bay Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130226000394 | WA | Part B Supplier - Ambulance Service Supplier | 1850546748 | Practice locations: Neah Bay, WA |
National Provider Directory
National Provider Directory- Part of
- Makah Tribal Council
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Clinic/Center
- Neah Bay, WA
- NPI 1356371397
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Paramedic
- Neah Bay, WA
- NPI 1558660118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684454400000",
"number": "1801180849",
"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": "360-394-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 2ND AVE",
"city": "NEAH BAY",
"state": "WA",
"postal_code": "98357",
"telephone_number": "360-645-2481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAKAH TRIBE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MAKAH TRIBE",
"enumeration_date": "2011-06-07",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A",
"authorized_official_last_name": "DRUGE",
"authorized_official_first_name": "DAN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "EMS COORDINATOR",
"authorized_official_telephone_number": "360-645-2481"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WA",
"license": "05X04",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I AND CRIME VICTIMS",
"identifier": "0280821",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Neah Bay Ambulance",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Neah Bay Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Neah Bay, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.