Organization Active NPI

Makah Tribe

  • Land Ambulance
  • Neah Bay, WA
National Provider Identifier
1801180849
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
05X04 Issued in WA
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 TRIBEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Authorized official

Name
Dan S DrugeNPI 1558660118
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0280821OtherWAL&I AND CRIME VICTIMS

Other names 1

  • Neah Bay Ambulance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.