Skamania County Hospital District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

30X01 Issued in WA

Legal business name

SKAMANIA COUNTY HOSPITAL DISTRICT

Doing business as

Skamania County EMS

Practice address

253 SW 1St St
Stevenson, WA 98648-6649

Phone

(509) 427-5065

NPI assigned

Jul 14, 2005

Last updated

Dec 28, 2015By 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

Patrick Nicholson

Title

Chief

Phone

(509) 427-5065

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Skamania County EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol L Shields, PA-C

  • Physician Assistant
  • Longview, WA
  • NPI 1962170944
  NPD (past)

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1861490633",
    "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": "360-394-7030",
            "fax_number": "360-394-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 SW 1ST ST",
            "city": "STEVENSON",
            "state": "WA",
            "postal_code": "986486649",
            "telephone_number": "509-427-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAMANIA COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "509-427-5065"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "30X01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0029165",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020839",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP-FECA AND ENERGY",
            "identifier": "191639800",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00215101",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185074",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skamania County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Scott, LCSW, LICSW
• James (Reggie) H Sherwood, CDP
• Lisa Marie Simmons
• Skamania Acupuncture Clinic
• Skamania Chiropractic and Rehabilitation PLLC
• Skamania Physical Therapy
• Skamania Physical Therapy
• Patricia Ann Stevens, LMT, DOULA BIRTH
• Stevenson Family Eye Care
• Stevenson-Carson School District

• Land Ambulance in Stevenson, WA
• Providers in Stevenson, WA by specialty
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.