LEWIS COUNTY FPD 4 (NPI# 1154468627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154468627 |
Entity Type | Organization |
Organization Name | LEWIS COUNTY FPD 4 |
Other Organization Name | MORTON AMBULANCE SERVICE |
Practice Address |
105 Third St. Morton WA 98356 |
Mailing Address |
Po Box 3510 Silverdale WA 98383-3510 |
Practice Telephone | 3604965183 |
Mailing Telephone | 3603947030 |
Mailing Fax Number | 3603947097 |
Enumeration Date | 2007-01-31 |
Last Update Date | 2012-11-09 |
Authorized Official Name | MICHELLE L HARBAUGH (EMS CAPTAIN) |
Authorized Official Telephone | 3604961283 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
21D04 | WA | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | OWCP | 616061100 | 01 |
WA | L&I AND CRIME VICTIMS | 0250091 | 01 |
WA | 9021882 | 05 |
Other Name | Type Code |
---|---|
Morton Ambulance Service | Other Name - Individual/Organization |
Street Address |
105 THIRD ST. |
City | MORTON |
State | WA |
Zip Code | 98356 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295299113 | Stephanie Jean Hemenway | Denturist | 209 W Main Ave., Morton, WA 98356 | 2019-01-24 |
1114438603 | Evergreen Health and Wellness, Ps | Chiropractor | 193 Main Ave, Suite A, Morton, WA 98356 | 2017-10-24 |
1346792207 | Naser Al Tameemi | Denturist | 209 W Main St., Morton, WA 98356 | 2016-10-26 |
1336522069 | New Era Denture Service | Denturist | 209 W. Main St., Morton, WA 98356 | 2015-06-30 |
1023368024 | Sandra L Demarest | Pharmacist | 377 South 2nd St., Morton, WA 98356 | 2012-09-17 |
1134442924 | Kindra R Keys | Massage Therapist | 209 Tilton View Rd., Morton, WA 98356 | 2010-03-08 |
1861697070 | Medical Vision Center, Ltd | Optometrist | 240 W. Main St., Morton, WA 98356 | 2007-06-18 |
1851443212 | John A Swetz | Chiropractor | 118 2nd St, Morton, WA 98356 | 2007-01-17 |
1093818130 | Demarest Inc | Pharmacy | 377 S 2nd St, Morton, WA 98356 | 2006-09-06 |
1023125424 | Shanna Lee Angel | Nurse Anesthetist, Certified Registered | 521 Adams, Morton, WA 98356 | 2006-08-23 |
Find all providers in zip 98356 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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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.