Active NPI
City of Snoqualmie
- Land Ambulance
- Snoqualmie, WA
National Provider Identifier
1972843860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 17M17
- 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, 2013
- 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
- Robert J Larson
- Title
- City Administrator
- Phone
- (425) 888-1555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130513000299 | WA | Part B Supplier - Ambulance Service Supplier | 8628215563 | Practice locations: Snoqualmie, WA |
National Provider Directory
National Provider DirectoryLocations
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.