Active NPI
City of Lynden
- Land Ambulance
- Lynden, WA
National Provider Identifier
1962476317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 37M07
- Legal business name
- CITY OF LYNDEN
- Practice address
- 215 4TH St
Lynden, WA 98264-1903 - Phone
- (360) 354-4400
- NPI assigned
- Feb 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra D'Alessandro
- Title
- Service Manager
- Phone
- (360) 354-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 37M07 | WA | Primary |
Addresses
Primary practice location
215 4TH St
Lynden, WA 98264-1903
Mailing address
PO Box 671
Lynden, WA 98264-0671
Phone (360) 654-4400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1257CI | Other | WA | REGENCE |
| 0176046 | Other | WA | L&I AND CRIME VICTIMS |
| 9138702 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040623001476 | WA | Part B Supplier - Ambulance Service Supplier | 1951386754 | Practice locations: Lynden, WA |
National Provider Directory
National Provider DirectoryLocations
215 4th St
Lynden, WA 98264
Phone (360) 354-4400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350950400000",
"number": "1962476317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 671",
"city": "LYNDEN",
"state": "WA",
"postal_code": "982640671",
"telephone_number": "360-654-4400",
"fax_number": "360-354-1452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 4TH ST",
"city": "LYNDEN",
"state": "WA",
"postal_code": "982641903",
"telephone_number": "360-354-4400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF LYNDEN",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-14",
"last_updated": "2012-10-23",
"status": "A",
"authorized_official_last_name": "D'ALESSANDRO",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "SERVICE MANAGER",
"authorized_official_telephone_number": "360-354-4400"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WA",
"license": "37M07",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "1257CI",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I AND CRIME VICTIMS",
"identifier": "0176046",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9138702",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynden, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.