NPIMap

Organization Active NPI

Lewis County

  • Land Ambulance
  • Mineral, WA
National Provider Identifier
1982741468
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
21D09 Issued in WA
Legal business name
LEWIS COUNTY
Practice address
104 Front St W
Mineral, WA 98355
Phone
(360) 262-3320
Fax
(360) 262-3893
NPI assigned
Jan 31, 2007
Organization subpart
Yes
Parent organization
LEWIS COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Ms. Linda A. Wolfe
Title
Billing Agent
Phone
(360) 262-3320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 21D09 WA Primary

Addresses

Primary practice location

104 Front St W
Mineral, WA 98355

Mailing address

PO Box 259
Napavine, WA 98565-0259
Phone (360) 262-3320

Other identifiers 1

IdentifierTypeStateIssuer
9036815MedicaidWA

Other names 1

  • Lewis County Fire District #9 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mossyrock Emergency Ser3 organizations share this tax ID, including this one
Part of
Mossyrock Emergency Ser

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1982741468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 259",
            "city": "NAPAVINE",
            "state": "WA",
            "postal_code": "985650259",
            "telephone_number": "360-262-3320",
            "fax_number": "360-262-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 FRONT ST W",
            "city": "MINERAL",
            "state": "WA",
            "postal_code": "98355",
            "telephone_number": "360-262-3320",
            "fax_number": "360-262-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEWIS COUNTY",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "360-262-3320",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "21D09",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9036815",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewis County Fire District #9",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mineral, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.