PEND OREILLE PARAMEDICS (NPI# 1902339849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902339849 |
| Entity Type | Organization |
| Organization Name | PEND OREILLE PARAMEDICS |
| Practice Address |
137 S Newport Ave Newport WA 99156-1942 |
| Mailing Address |
Po Box 1942 137 S Newport Ave Newport WA 99156-1942 |
| Practice Telephone | 5094471200 |
| Practice Fax Number | 5094471201 |
| Mailing Telephone | 5094471202 |
| Mailing Fax Number | 5094471201 |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2018-02-05 |
| Authorized Official Name | JOHN JACKSON (PRESIDENT) |
| Authorized Official Telephone | 5096716699 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
604090652 | WA | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2089321 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PEND OREILLE PARAMEDICS | 137 S Newport Ave, Newport, WA 99156 |
| Washington State Corporations | PEND OREILLE PARAMEDICS | 421 W Riverside Ave Ste 381, Spokane, WA 99201-0402 |
| Street Address |
137 S NEWPORT AVE |
| City | NEWPORT |
| State | WA |
| Zip Code | 99156-1942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184164493 | John Jackson | Emergency Medical Technician, Paramedic | 137 S Newport Ave, Newport, WA 99156-1942 | 2017-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720535297 | Newport Dental | Clinic/Center | 610 West Second St., Box 849, Newport, WA 99156 | 2016-09-01 |
| 1033665278 | Elisabeth Mackey | Nurse Practitioner | 704 West Pine Street, Newport, WA 99156 | 2016-08-28 |
| 1558764845 | Russell John Stephens | Dentist | 424 N. Warren Ave., Newport, WA 99156 | 2014-10-01 |
| 1215289285 | Mary Sue Siemsen | Speech-Language Pathologist | 1201 W. 5th Street, Newport, WA 99156 | 2012-10-15 |
| 1699027797 | Denise Anderson | Registered Nurse | 1380 W. 5th Street, Newport, WA 99156 | 2012-10-12 |
| 1174840532 | Tina Diane Vanzandt | Counselor | 405 W Walnut St Ste 3, Newport, WA 99156 | 2010-04-26 |
| 1447415252 | Carol Townley | Social Worker | 105 S Garden Avenue, Box 5055, Newport, WA 99156 | 2008-07-21 |
| 1992912117 | Lois A. Robertson | Massage Therapist | 322 South Washington Avenue, Newport, WA 99156 | 2007-05-17 |
| 1740312073 | Amber Lyne Salesky | Massage Therapist | 601 Hwy 20, Newport, WA 99156 | 2007-03-12 |
| 1124159900 | Pend Oreille County Public Hospital District No 1 | Clinic/Center | 100 S Scott, Newport, WA 99156 | 2007-03-07 |
| Find all providers in zip 99156 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1821373754 | Erby Contractors Inc | Ambulance | 744 Lower Quarry Rd, Newport, TN 37821-8810 | 2011-10-11 |
| 1063696508 | Ccmt, Inc | Ambulance | 204 Graham Rd, Newport, NC 28570-4111 | 2007-12-19 |
| 1790851293 | Groom Enterprises | Ambulance | 117 S Washington Ave, Newport, WA 99156-9665 | 2006-11-27 |
| 1538254032 | White River Ems, Inc. | Ambulance | 1811 North Pecan Street, Newport, AR 72112 | 2006-10-03 |
| 1841233111 | Newport Ambulance Service Inc. | Ambulance | 830 Union St, Newport, VT 05855-5523 | 2006-06-14 |
| 1578501490 | Town of Newport | Ambulance | 125 Howard Blvd, Newport, NC 28570-7925 | 2006-06-03 |
| 1568418820 | Broad and Gales Creek Rescue Squad | Ambulance | 3010 Hwy 24, Newport, NC 28570-5083 | 2006-05-26 |
| 1871554824 | Cocke County Ambulance Service Inc | Ambulance | 245 Bybee Rd, Newport, TN 37821-4603 | 2006-03-29 |
| Find all providers in NEWPORT | ||||
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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.