Central Valley Ambulance Authority

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

29X07 Issued in WA

Legal business name

CENTRAL VALLEY AMBULANCE AUTHORITY

Practice address

2015 Hospital Dr
Unit a
Sedro Woolley, WA 98284-4327

Phone

(360) 856-7152

Fax

(360) 856-7187

NPI assigned

Jul 29, 2009

Organization subpart

No

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

Authorized official

Name

Carole Knipper

Title

Patient Accounts

Phone

(360) 856-7152

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1982835625",
    "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": "2015 HOSPITAL DR",
            "address_2": "UNIT A",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982844327",
            "telephone_number": "360-856-7152",
            "fax_number": "360-856-7187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY AMBULANCE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "KNIPPER",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "360-856-7152"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "29X07",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-CRIME VICTIMS",
            "identifier": "0252279",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00774086",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9063306",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "615137700",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vyonne Carter, PHARMACIST
• Cascade Physical Therapy & Sports Clinic
• Cascade Physical Therapy and Sports Clinic, Inc.
• Deanna Marie Catlin, CNA, AAC
• Cedra Emergency Physicians LLC
• Robert Strande Chaddock, DDS
• Stacy Lee Chambers, CG60730016
• Brian Chan, RPH
• Janessa J Chang, M.D.
• Jake Ryan Chastain

• Land Ambulance in Sedro Woolley, WA
• Providers in Sedro Woolley, WA by specialty
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.