PE ELL AMBULANCE AUXILLARY NPI 1780874511

NPI Information

NPI: 1780874511
Provider Name: PE ELL AMBULANCE AUXILLARY
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
800 N MAIN ST
PE ELL, WA
ZIP 98572
Phone: (360) 520-2046
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PE ELL AMBULANCE AUXILLARY is a land transport ambulance in Pe Ell, WA. PE ELL AMBULANCE AUXILLARY NPI is 1780874511. The provider is registered as an organization entity type.

The provider's business location address is:

800 N MAIN ST
PE ELL, WA
ZIP 98572
Phone: (360) 520-2046

The provider's authorized official is Michael Krafczyk .
The authorized official title is Fire Chief and has the following contact phone number (360) 880-0036.

The enumeration date for this NPI number is 7/27/2007 and was last updated on 4/1/2013.

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	21M05	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	G8880464	MEDICARE PIN	WASHINGTON
2	0239919	OTHER	WASHINGTON	L&I AND CRIME VICTIMS
3	P00840008	OTHER	WASHINGTON	RAILROAD MEDICARE
4	9062365	MEDICAID	WASHINGTON

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: 5/5/2024

NPI Synchronization or Removal

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