WAITSBURG AMBULANCE SERVICE (NPI# 1154305522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154305522 |
| Entity Type | Organization |
| Organization Name | WAITSBURG AMBULANCE SERVICE |
| Practice Address |
765 Preston Ave Waitsburg WA 99361-7723 |
| Mailing Address |
Po Box 242 Waitsburg WA 99361-0242 |
| Practice Telephone | 5093376149 |
| Practice Fax Number | 5093376220 |
| Mailing Telephone | 5093376149 |
| Mailing Fax Number | 5093376220 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2012-10-10 |
| Authorized Official Name | SHARON MARIE BROOKS (DEPUTY CHIEF OF OPERATIONS) |
| Authorized Official Telephone | 5093376149 |
| Authorized Official Credential | AEMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
36X03 | WA | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9053349 | 05 | |
| WA | LABOR AND INDUSTRIES | 0166650 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | WAITSBURG AMBULANCE SERVICE | 765 Preston Avenue, Waitsburg, WA 99361 |
| Street Address |
765 PRESTON AVE |
| City | WAITSBURG |
| State | WA |
| Zip Code | 99361-7723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033577051 | Columbia Walla Walla Fire District No 2 | Ambulance | 765 Preston Ave, Waitsburg, WA 99361-7723 | 2016-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487172607 | Barbara Jean Bates | Social Worker | 7660 Lewis Peak Road, N/a, Waitsburg, WA 99361 | 2017-09-08 |
| 1215018346 | Columbia County Hospital District | Clinic/Center | 235 Main Street, Waitsburg, WA 99361 | 2006-10-17 |
| 1023379989 | Kortney Kyle Killgore-smith | Nurse Practitioner | 235 Main Street, Waitsburg, WA 99361 | 2012-06-06 |
| 1285748152 | Waitsburg Joint School District | Local Education Agency (LEA) | 184 Academy Street, Waitsburg, WA 99361-0217 | 2006-08-18 |
| 1548579915 | Claudia Cecilia Abel | Massage Therapist | 111 Preston Ave, Waitsburg, WA 99361-8808 | 2010-10-01 |
| 1114425048 | Melissa Marie Parra | Clinical Exercise Physiologist | 111 Preston Ave, Waitsburg, WA 99361-8808 | 2018-01-25 |
| 1316913221 | Kyle Rowley Terry | Family Medicine | 235 Main St, Waitsburg, WA 99361-9734 | 2006-02-28 |
| 1982793428 | Dawn Meicher | Nurse Practitioner | 235 Main St, Waitsburg, WA 99361-9734 | 2006-10-12 |
| 1518195387 | Glenn Arlin Silver | Nurse Practitioner | 425 E 8th St, Waitsburg, WA 99361-9742 | 2009-06-30 |
| 1831520089 | Sanguinity Mobile Medical | Clinic/Center | 425 E 8th St, Waitsburg, WA 99361-9742 | 2013-12-12 |
| Find all providers in zip 99361 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033577051 | Columbia Walla Walla Fire District No 2 | Ambulance | 765 Preston Ave, Waitsburg, WA 99361-7723 | 2016-02-04 |
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|---|---|---|---|---|
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| 1558836940 | City of Burlington | Ambulance | 350 E Sharon Ave, Burlington, WA 98233-2232 | 2018-10-11 |
| 1053800417 | Kalispel Indian Community of The Kalispel Reservation Washington | Ambulance | 1981 N Leclerc, Usk, WA 99180 | 2018-05-01 |
| 1205334810 | Stevens County Fire Protection District #1 | Ambulance | 4532 Railroad Ave, Clayton, WA 99110-9790 | 2018-01-29 |
| 1952811820 | Pend Oreille County Fire Protection District 4 | Ambulance | 11 Dalkena St, Newport, WA 99156-9768 | 2017-10-05 |
| 1215476379 | Pend Oreille Fire 3 | Ambulance | 325272 Highway 2, Newport, WA 99156-9354 | 2017-02-21 |
| 1023556289 | Snohomish County Fire Protection District No 21 | Ambulance | 12131 228th St Ne, Arlington, WA 98223-6933 | 2017-02-08 |
| 1861939977 | Thurston County Fire Protection District 17 | Ambulance | 16306 Bald Hill Rd Se, Yelm, WA 98597-7985 | 2017-01-26 |
| Find all providers with the same taxonomy | ||||
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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.