North Country Emergency Medical Services

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

601009935 Issued in WA

Legal business name

NORTH COUNTRY EMERGENCY MEDICAL SERVICES

Practice address

300 W Hoag St
Yacolt, WA 98675-5604

Phone

(360) 686-3271

NPI assigned

May 24, 2005

Last updated

Jan 9, 2018By 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

Ms. Kim Pitts

Title

Administrative Assistant

Phone

(360) 686-3271

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1881697654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "YACOLT",
            "state": "WA",
            "postal_code": "986750299",
            "telephone_number": "360-686-3271",
            "fax_number": "360-686-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W HOAG ST",
            "city": "YACOLT",
            "state": "WA",
            "postal_code": "986755604",
            "telephone_number": "360-686-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY EMERGENCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "360-686-3271",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "601009935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIE",
            "identifier": "27228",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BC/BS",
            "identifier": "911357973",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP",
            "identifier": "166025",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9063603",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larch Corrections Center
• Rhonda M Lipka, LMT
• Keira L McCloskey, SUDPT
• April Marie Miller, LMP
• Michael A Nash, RN
• Danyel Leann Piva, LMP
• Laurie Ann Rekucki
• Rachel Christine Richards, M.S.
• Tammy Richert, LMP
• Joshua Robertson, PARAMEDIC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.