Organization Active NPI

South Whatcom Fire Authority

  • Land Ambulance
  • Bellingham, WA
National Provider Identifier
1972741189
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
37D20 Issued in WA
Legal business name
SOUTH WHATCOM FIRE AUTHORITY
Practice address
2050 Lake Whatcom Blvd
Bellingham, WA 98229-2754
Phone
(360) 676-8080
NPI assigned
Jan 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gerri Kay Gilmore
Title
Administrative Assistant
Phone
(360) 676-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 37D20 WA Primary

Addresses

Primary practice location

2050 Lake Whatcom Blvd
Bellingham, WA 98229-2754

Mailing address

PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7030

Other identifiers 3

IdentifierTypeStateIssuer
0246036OtherWAL&I AND CRIME VICTIMS
9062704MedicaidWA
615556500OtherWAOWCP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090410000222 WA Part B Supplier - Ambulance Service Supplier 5597812404 Practice locations: Bellingham, WA

National Provider Directory

National Provider Directory

Locations

5070 Samish Way
Bellingham, WA 98229
Phone (360) 676-8080

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1972741189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3510",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983833510",
            "telephone_number": "360-394-7030",
            "fax_number": "360-394-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 LAKE WHATCOM BLVD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982292754",
            "telephone_number": "360-676-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH WHATCOM FIRE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "GERRI",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "360-676-8080"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "37D20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0246036",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9062704",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "615556500",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.