Organization Active NPI

City of Snoqualmie

  • Land Ambulance
  • Snoqualmie, WA
National Provider Identifier
1972843860
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
17M17 Issued in WA
Legal business name
CITY OF SNOQUALMIE
Practice address
37600 SE Snoqualmie Pkwy
Snoqualmie, WA 98065-8715
Phone
(425) 888-1551
NPI assigned
Feb 28, 2013
Last updated
Jun 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Robert J Larson
Title
City Administrator
Phone
(425) 888-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 17M17 WA Primary

Addresses

Primary practice location

37600 SE Snoqualmie Pkwy
Snoqualmie, WA 98065-8715

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130513000299 WA Part B Supplier - Ambulance Service Supplier 8628215563 Practice locations: Snoqualmie, WA

National Provider Directory

National Provider Directory

Locations

37600 SE Snoqualmie Pkwy
Snoqualmie, WA 98065
Phone (425) 888-1551

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1972843860",
    "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": "37600 SE SNOQUALMIE PKWY",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980658715",
            "telephone_number": "425-888-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SNOQUALMIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CITY ADMINISTRATOR",
        "authorized_official_telephone_number": "425-888-1555"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "17M17",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snoqualmie, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.