City of Ruston
Organization Active NPI Land Ambulance · Ruston, WA
NPI 1972368504 · NPPES record last updated Jun 25, 2024
Key facts
- NPI
- 1972368504
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- CITY OF RUSTON
- Practice address
- 5117 N Winnifred St
Ruston, WA 98407-6512 - Phone
- (253) 330-7755
- NPI assigned
- Feb 13, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- RUSTON FIRE DEPARTMENT
Authorized official
- Name
- Bruce E. Allen, FIRE CHIEF
- Title
- Fire Chief
- Phone
- (253) 330-7755
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240826001751 | WA | Part B Supplier - Ambulance Service Supplier | 8921547787 | Practice locations: Ruston, WA |
National Provider Directory
- Part of
- City of Ruston
Locations
5117 N Winnifred St
Ruston, WA 98407
Phone (253) 330-7755
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
5117 N Winnifred St
Ruston, WA 98407-6512
Mailing address
5219 N Shirley St
Ruston, WA 98407-6599
Phone (253) 330-7755
Other names
- Ruston Fire Department
Other providers in Ruston, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2024. 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.