City of Coulee Dam

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

24M11 Issued in WA

Legal business name

CITY OF COULEE DAM

Doing business as

Town of Coulee Dam Ambulance-Coulee Dam Fire Department

Practice address

300 Lincoln Ave
Coulee Dam, WA 99116-1419

Phone

(509) 633-0320

NPI assigned

Sep 27, 2006

Last updated

Nov 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ben Alling

Title

EMS Chief

Phone

(509) 633-0320

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• TOWN OF COULEE DAM AMBULANCE-COULEE DAM FIRE DEPARTMENT Doing business as

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1821189325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LINCOLN AVE",
            "city": "COULEE DAM",
            "state": "WA",
            "postal_code": "991161419",
            "telephone_number": "509-633-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LINCOLN AVE",
            "city": "COULEE DAM",
            "state": "WA",
            "postal_code": "991161419",
            "telephone_number": "509-633-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF COULEE DAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "ALLING",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "509-633-0320",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "24M11",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9146309",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON L&I",
            "identifier": "0028988",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOWN OF COULEE DAM AMBULANCE-COULEE DAM FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheryl Fercha
• Grand Coulee Dam School District
• Karl Northrup PLLC
• April Oates
• Olivia Gabrielle Ponusky

• Land Ambulance in Coulee Dam, WA
• Providers in Coulee Dam, WA by specialty
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.