Active NPI
City of Camas
Doing business as Camas Fire Department
- Land Ambulance
- Camas, WA
National Provider Identifier
1801941315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 06M02
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0026983 | Other | WA | LABOR & INDUSTRIES |
| 822443000 | Other | WA | REGENCE BLUE CROSS |
| 9137902 | Medicaid | WA |
Other names 1
- Camas Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100915000773 | WA | Part B Supplier - Ambulance Service Supplier | 2961527833 | Practice locations: Camas, WA; Washougal, WA |
National Provider Directory
National Provider DirectoryLocations
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.