Organization Active NPI

City of Camas

Doing business as Camas Fire Department

  • Land Ambulance
  • Camas, WA
National Provider Identifier
1801941315
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
06M02 Issued in WA
Legal business name
CITY OF CAMAS
Doing business as
Camas Fire Department
Practice address
616 NE 4TH Ave
Ste 1
Camas, WA 98607-2108
Phone
(360) 834-2262
Fax
(360) 834-8854
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Mr. Nick Swinhart
Title
Fire Chief
Phone
(360) 834-2262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 06M02 WA Primary

Addresses

Primary practice location

616 NE 4TH Ave
Ste 1
Camas, WA 98607-2108

Mailing address

616 NE 4TH Ave
Ste 1
Camas, WA 98607-2108
Phone (360) 834-2262

Other identifiers 3

IdentifierTypeStateIssuer
0026983OtherWALABOR & INDUSTRIES
822443000OtherWAREGENCE BLUE CROSS
9137902MedicaidWA

Other names 1

  • Camas Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100915000773 WA Part B Supplier - Ambulance Service Supplier 2961527833 Practice locations: Camas, WA; Washougal, WA

National Provider Directory

National Provider Directory

Locations

616 NE 4th Ave
Ste 1
Camas, WA 98607
Phone (360) 834-2262

616 NE 4th Ave
Camas, WA 98607
Phone (360) 817-1579

4321 NW Parker St
Camas, WA 98607
Phone (360) 833-2042

1400 A St
Washougal, WA 98671
Phone (360) 835-2611

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1801941315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 NE 4TH AVE",
            "address_2": "STE 1",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072108",
            "telephone_number": "360-834-2262",
            "fax_number": "360-834-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 NE 4TH AVE",
            "address_2": "STE 1",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072108",
            "telephone_number": "360-834-2262",
            "fax_number": "360-834-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CAMAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "SWINHART",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "360-834-2262",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "06M02",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0026983",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS",
            "identifier": "822443000",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9137902",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camas Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camas, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.