KALISPEL INDIAN COMMUNITY OF THE KALISPEL RESERVATION WASHINGTON (NPI# 1053800417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053800417 |
| Entity Type | Organization |
| Organization Name | KALISPEL INDIAN COMMUNITY OF THE KALISPEL RESERVATION WASHINGTON |
| Practice Address |
1981 N Leclerc Usk WA 99180 |
| Mailing Address |
Po Box 39 Usk WA 99180-0039 |
| Practice Telephone | 5094477299 |
| Mailing Telephone | 5094477299 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |
| Authorized Official Name | DARREN HOLMES (DIRECTOR) |
| Authorized Official Telephone | 5094451147 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
26X04 | WA | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WA DEPT OF HEALTH | 26X04 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396937769 | Kalispel Indian Community of The Kalispel Reservation Washington | Clinic/Center | 1821 Leclerc Rd N, Cusick, WA 99119-9682 | 2007-08-09 |
| Street Address |
1981 N LECLERC |
| City | USK |
| State | WA |
| Zip Code | 99180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871985143 | Carl Northrup | Specialist | 864 Jared Rd, Usk, WA 99180-8703 | 2015-02-24 |
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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|---|---|---|---|---|
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| 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 |
| 1205388444 | Bainbridge Advanced Care Ambulance | Ambulance | 600 Ericksen Ave Ne, Suite 350, Bainbridge Island, WA 98110-2854 | 2016-11-03 |
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| 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.