1215901129 NPI number — CITY OF RICHLAND

Table of Contents

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:
Provider Other Organization Name Type Code:
6
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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