1215901129 NPI number — CITY OF RICHLAND

Table of content: (NPI 1215901129)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215901129 NPI number — CITY OF RICHLAND

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF RICHLAND
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
RICHLAND FIRE DEPARTMENT
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215901129
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1000 GEORGE WASHINGTON WAY
Provider Second Line Business Mailing Address:
ATTN AMBULANCE BILLING
Provider Business Mailing Address City Name:
RICHLAND
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
99352
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-942-7560
Provider Business Mailing Address Fax Number:
509-942-7575

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1000 GEORGE WASHINGTON WAY
Provider Second Line Business Practice Location Address:
ATTN AMBULANCE BILLING
Provider Business Practice Location Address City Name:
RICHLAND
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99352
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-942-7560
Provider Business Practice Location Address Fax Number:
509-942-7575
Provider Enumeration Date:
02/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BAYNES
Authorized Official First Name:
R
Authorized Official Middle Name:
GRAND
Authorized Official Title or Position:
DIRECTOR FIRE CHIEF
Authorized Official Telephone Number:
509-942-7553

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  03M04 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00331920 , issued by the state of ( ID ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1009350 . This is a "COMMUITY HEALTH PLAN BHP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 228859 . This is a "STATE OF OR OMAP MEDICAID" identifier . This identifiers is of the category "OTHER".
  • Identifier: 26819 . This is a "DEPT OF LABOR & INDUSTRIE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8908412 . This is a "CRIME VICTIMS COMPENSATIO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9133802 . This is a "STATE OF WA MEDICAID" identifier . This identifiers is of the category "OTHER".
  • Identifier: XMTE06456 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 228859 . This is a "CAREOREGON OHP" identifier . This identifiers is of the category "OTHER".




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