Skamania County Hospital District
Organization Active NPI Land Ambulance · Stevenson, WA
NPI 1861490633 · NPPES record last updated Dec 28, 2015
Key facts
- NPI
- 1861490633
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 30X01 (WA)
- Legal business name
- SKAMANIA COUNTY HOSPITAL DISTRICT
- Practice address
- 253 SW 1St St
Stevenson, WA 98648-6649 - Phone
- (509) 427-5065
- NPI assigned
- Jul 14, 2005
- Organization subpart
- No
Authorized official
- Name
- Patrick Nicholson
- Title
- Chief
- Phone
- (509) 427-5065
Practitioners 1
-
Carol L Shields, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050329000119 | WA | Part B Supplier - Ambulance Service Supplier | 0143276667 | Practice locations: Stevenson, WA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 30X01 | WA | Yes |
Addresses
Primary practice location
253 SW 1St St
Stevenson, WA 98648-6649
Mailing address
PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7030
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191639800 | Other | WA | OWCP-FECA AND ENERGY |
| 185074 | Medicaid | OR | |
| P00215101 | Other | WA | RAILROAD MEDICARE |
| 1020839 | Medicaid | WA | |
| 0029165 | Other | WA | L&I AND CRIME VICTIMS |
Other names
- Skamania County EMS
Other providers in Stevenson, WA
- Deborah Scott
- James (Reggie) H Sherwood
- Lisa Marie Simmons
- Skamania Acupuncture Clinic
- Skamania Chiropractic and Rehabilitation PLLC
- Skamania Physical Therapy
- Skamania Physical Therapy
- Patricia Ann Stevens
- Stevenson Family Eye Care
- Stevenson-Carson School District
All providers in Stevenson, WA · Land Ambulance in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.