Organization Active NPI

City of Anacortes

  • Land Ambulance
  • Anacortes, WA
National Provider Identifier
1811320021
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
29M01 Issued in WA
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

Updated by the provider on Feb 3, 2014

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20140115001343 WA Part B Supplier - Ambulance Service Supplier 6901034107 Practice locations: Anacortes, WA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.