Active NPI
South Whatcom Fire Authority
- Land Ambulance
- Bellingham, WA
National Provider Identifier
1972741189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 37D20
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0246036 | Other | WA | L&I AND CRIME VICTIMS |
| 9062704 | Medicaid | WA | |
| 615556500 | Other | WA | OWCP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090410000222 | WA | Part B Supplier - Ambulance Service Supplier | 5597812404 | Practice locations: Bellingham, WA |
National Provider Directory
National Provider DirectoryLocations
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.