SOUTH BEACH AMBULANCE SERVICE (NPI# 1073670378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073670378 |
| Entity Type | Organization |
| Organization Name | SOUTH BEACH AMBULANCE SERVICE |
| Practice Address |
170 West Spokane Street Westport WA 98595-1195 |
| Mailing Address |
Po Box 1195 Westport WA 98595-1195 |
| Practice Telephone | 3602689832 |
| Practice Fax Number | 3602681880 |
| Mailing Telephone | 3602689832 |
| Mailing Fax Number | 3602681880 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-09-19 |
| Authorized Official Name | MRS. DIANE MARIE MCNETT (SECRETARY BILLING CLERK) |
| Authorized Official Telephone | 3602689832 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
14X03 | WA | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 90022989 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTH BEACH AMBULANCE SERVICE | 170 W Spokane Ave, Westport, WA 98595-0000 |
| Street Address |
170 WEST SPOKANE STREET |
| City | WESTPORT |
| State | WA |
| Zip Code | 98595-1195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528537198 | Amber L Moore | Massage Therapist | 403 Montesano Ave., Westport, WA 98595 | 2018-11-13 |
| 1437690955 | South Beach Dental Clinic | Dentist | 509 S Montesano St, Westport, WA 98595 | 2017-03-16 |
| 1922555424 | Halcyon Counseling LLC | Counselor | 801 N. Montesano St., Westport, WA 98595 | 2016-09-01 |
| 1053771626 | Rebecca Dornbush | Physical Therapy Assistant | 801 Montesano St, 1st Floor #300, Westport, WA 98595 | 2016-02-25 |
| 1437582038 | Lana Diane Adams | Physical Therapy Assistant | 801 North Montesano Street, Suite 300, Westport, WA 98595 | 2013-08-19 |
| 1912346776 | Aquila Stoneking | Specialist | 2580 S Montesano St., Westport, WA 98595 | 2013-06-14 |
| 1619204922 | Jamie Lynn Lowe | Massage Therapist | 213 Tacoma Ave. W., Westport, WA 98595 | 2009-11-06 |
| 1306074810 | Donald Richard Nack Jr. | Massage Therapist | 820 North Rainier St., Westport, WA 98595 | 2009-06-24 |
| 1881821437 | Doris Elaine Reed | Acupuncturist | 100 N Montesano St, #5, Westport, WA 98595 | 2009-06-22 |
| 1861632713 | Dr Sean Spaulding Pllc | Chiropractor | 801 N Montesano St, Westport, WA 98595 | 2009-03-04 |
| Find all providers in zip 98595 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.