SPOKANE TRIBAL AMBULANCE (NPI# 1972677300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972677300 |
| Entity Type | Organization |
| Organization Name | SPOKANE TRIBAL AMBULANCE |
| Practice Address |
6203 Ford-wellpinit Rd Wellpinit WA 99040 |
| Mailing Address |
Po Box 128 6203 Ford-wellpinit Rd Wellpinit WA 99040-0128 |
| Practice Telephone | 5092587766 |
| Practice Fax Number | 5092589453 |
| Mailing Telephone | 5092587766 |
| Mailing Fax Number | 5092589453 |
| Enumeration Date | 2006-11-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SHAVONN LOUISE RINNE (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 5092587766 |
| Authorized Official Credential | EMT-I |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
33X03 | WA | Transportation Services |
| Street Address |
6203 FORD-WELLPINIT RD |
| City | WELLPINIT |
| State | WA |
| Zip Code | 99040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339966 | Derrick Lemont Singleton | Counselor | 6233 Old School Rd, 6233 Old School Rd, Wellpinit, WA 99040 | 2019-11-01 |
| 1023652195 | Robert Joseph Hayward | Counselor | 6228 East Old School Rd, Wellpinit, WA 99040 | 2019-11-01 |
| 1033503107 | Shad Burnett St Paul | Counselor | 6228 E. Old School Rd, Wellpinit, WA 99040 | 2015-03-26 |
| 1003183427 | Kimberley J Doyle | Counselor | 6228 E Old School Rd, Wellpinit, WA 99040 | 2011-11-30 |
| 1649584665 | Lonna M Hughes | Counselor | 6228 East Old School Road, Wellpinit, WA 99040 | 2010-08-02 |
| 1083849129 | Phyllis Lorraine Grant | Counselor | 6228 Old School Rd., Wellpinit, WA 99040 | 2009-05-19 |
| 1558596775 | Jeanne Laree White | Social Worker | 6228 E. Old School Rd., Wellpinit, WA 99040 | 2009-05-18 |
| 1467644294 | Spokane Tribe of Indians | Community/Behavioral Health | 6228 E. School Road, Wellpinit, WA 99040 | 2007-08-15 |
| 1750411310 | David C Wynecoop Memorial Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Agency Square, Wellpinit, WA 99040 | 2007-03-06 |
| 1588701858 | Kathleen A Ames | Registered Nurse | 6203 Agency Loop Rd., Welllpinit, WA 99040 | 2007-01-30 |
| Find all providers in zip 99040 | ||||
| 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 |
|---|---|---|---|---|
| 1558786210 | Spokane Tribe of Indians | Ambulance | 6203 Ford Wellpinit Rd, Wellpinit, WA 99040-9700 | 2014-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469970 | Thurston County Fire Protection Dist 6 | Ambulance | 8047 Normandy St. Se, Olympia, WA 98501 | 2020-02-20 |
| 1235694613 | Spencer Family Investments | Ambulance | 9514 E Montgomery Ave, Spokane Valley, WA 99206-4140 | 2019-02-09 |
| 1972073963 | Riverside Fire Authority | Ambulance | 1818 Harrison Ave, Centralia, WA 98531-1905 | 2018-12-03 |
| 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 | ||||
Please comment or provide details below to improve the information on SPOKANE TRIBAL AMBULANCE.
| 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.