American Medical Response Ambulance Service Inc
Organization Active NPI Ambulance · Olympia, WA
NPI 1962437673 · NPPES record last updated Sep 15, 2025
Key facts
- NPI
- 1962437673
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE INC
- Practice address
- 1210 Eastside St SE Ste 100
Olympia, WA 98501 - Phone
- (360) 352-7968
- NPI assigned
- Jul 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Timothy Joseph Dorn
- Title
- Chief Administrative Officer
- Phone
- (833) 703-2294
Other NPIs on the same Medicare enrollment 5
Corporate family (same tax ID) 17
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051006000469 | WA | Part B Supplier - Ambulance Service Supplier | 8729992615 |
6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Yakima, WA; Tukwila, WA; Spokane, WA; Olympia, WA; Centralia, WA; Richland, WA |
National Provider Directory
- Tax ID family
- Med Trans of Montana
Locations
1210 Eastside St SE
Ste 100
Olympia, WA 98501
Phone (360) 352-7968
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Yes | ||
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
1210 Eastside St SE Ste 100
Olympia, WA 98501
Mailing address
PO Box 749667
Los Angeles, CA 90074-9667
Phone (800) 913-9106
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962437673-002 | Medicaid | ID | |
| 1023210 | Medicaid | WA | |
| 1583932 | Medicaid | AK |
Other names
- American Medical Response
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2025. 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.