CITY OF WALLA WALLA NPI 1720004112

NPI Information

NPI: 1720004112
Provider Name: CITY OF WALLA WALLA
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
170 N WILBUR AVE
WALLA WALLA, WA
ZIP 99362
Phone: (509) 529-4083
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CITY OF WALLA WALLA is a land transport ambulance in Walla Walla, WA. CITY OF WALLA WALLA NPI is 1720004112. The provider is registered as an organization entity type.

The provider's business location address is:

170 N WILBUR AVE
WALLA WALLA, WA
ZIP 99362-548
Phone: (509) 529-4083
Fax: (509) 529-0694

The provider's authorized official is Brad W Morris .
The authorized official title is Deputy Chief Of Ems and has the following contact phone number (509) 529-4083.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 12/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	36M04	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	029454	OTHER	WASHINGTON	OREGON MEDICAID
2	8901205	OTHER	WASHINGTON	CRIME VICTIM PROVIDER NUM
3	12755	OTHER	WASHINGTON	WASHINGTON L&I
4	ITA9023839	OTHER	WASHINGTON	INVOLUNTARY
5	G001300027	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON	PROVIDER NUMBER
6	9150509	MEDICAID	WASHINGTON
7	193657900	OTHER	WASHINGTON	OFFICE WORKERS COMP
8	590161247	OTHER	WASHINGTON	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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