Active NPI
City of Anacortes
- Land Ambulance
- Anacortes, WA
National Provider Identifier
1811320021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 29M01
- Legal business name
- CITY OF ANACORTES
- Practice address
- 904 6TH St
Anacortes, WA 98221-0000 - Phone
- (360) 290-1900
- NPI assigned
- Aug 12, 2013
- 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
- Steven D Hoglund
- Title
- Finance Director
- Phone
- (360) 293-1906
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 29M01 | WA | Primary |
Addresses
Primary practice location
904 6TH St
Anacortes, WA 98221-0000
Mailing address
PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140115001343 | WA | Part B Supplier - Ambulance Service Supplier | 6901034107 | Practice locations: Anacortes, WA |
National Provider Directory
National Provider DirectoryLocations
9029 Molly Ln
Ste A
Anacortes, WA 98221
Phone (360) 293-1925
1016 13th St
Anacortes, WA 98221
Phone (360) 293-1900
904 6th St
Anacortes, WA 98221
Phone (360) 290-1900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391385600000",
"number": "1811320021",
"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": "904 6TH ST",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982210000",
"telephone_number": "360-290-1900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF ANACORTES",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-12",
"last_updated": "2014-02-03",
"status": "A",
"authorized_official_last_name": "HOGLUND",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "FINANCE DIRECTOR",
"authorized_official_telephone_number": "360-293-1906"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WA",
"license": "29M01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anacortes, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.