Spokane Tribal Ambulance

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

33X03 Issued in WA

Legal business name

SPOKANE TRIBAL AMBULANCE

Practice address

6203 Ford-Wellpinit Rd
Wellpinit, WA 99040

Phone

(509) 258-7766

Fax

(509) 258-9453

NPI assigned

Nov 18, 2006

Last updated

Aug 22, 2020By 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. Shavonn Louise Rinne, EMT-I

Title

Administrative Assistant

Phone

(509) 258-7766

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972677300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "address_2": "6203 FORD-WELLPINIT RD",
            "city": "WELLPINIT",
            "state": "WA",
            "postal_code": "990400128",
            "telephone_number": "509-258-7766",
            "fax_number": "509-258-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6203 FORD-WELLPINIT RD",
            "city": "WELLPINIT",
            "state": "WA",
            "postal_code": "99040",
            "telephone_number": "509-258-7766",
            "fax_number": "509-258-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE TRIBAL AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RINNE",
        "authorized_official_first_name": "SHAVONN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "509-258-7766",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "EMT-I"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "33X03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Ann Moses, ARNP
• Elizabeth Genet Sachse, RN
• Carolina E Sanchez-Van Komen, LPN
• Derrick Lemont Singleton
• Jody Soura
• Spokane Tribe of Indians
• Spokane Tribe of Indians (David C. Wynecoop Memorial Health Center)
• Spokane Tribe of Indians (Spokane Tribal Emergency Response)
• Twa-Le E Swan
• Rebecca Tidwell, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.