MISS MOLLIE SIMONSON


Address: Gonzaga University Msc 3838, 502 E Boone Ave., Spokane, WA 99258-2500
Phone: 4064382726

MISS MOLLIE SIMONSON (NPI# 1477004653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477004653
Entity Type Individual
Full Name MISS MOLLIE SIMONSON
Practice Address Gonzaga University Msc 3838
502 E Boone Ave.
Spokane
WA 99258-2500
Mailing Address 3 Highway 5 E
Plentywood
MT 59254-9618
Practice Telephone 4064382726
Mailing Telephone 4064382726
Enumeration Date 2016-10-21
Last Update Date 2016-10-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 146N00000X Emergency Medical Technician, Basic MED-EMT-LIC-5161 MT Emergency Medical Service Providers

Office Location

Street Address GONZAGA UNIVERSITY MSC 3838
502 E BOONE AVE.
City SPOKANE
State WA
Zip Code 99258-2500

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568494045 Valerie Kolokoff Family Medicine Gonzaga University Student Health 704 E Sharp, Spokane, WA 99258 2006-07-07
1649233511 Erin Marie Morrison Psychiatry & Neurology 704 E Sharp, Spokane, WA 99258 2006-04-10
1861031213 Morgan Sloan Nurse Practitioner 502 E Boone Ave, Spokane, WA 99258 2020-01-02
1760506406 Nancy K Crotty Specialist 704 E Sharp Ave, Spokane, WA 99258-0001 2007-03-19
1023114758 Patricia Lea Hines Nurse Practitioner 702 E Sharp Ave, Spokane, WA 99258-0001 2006-09-16
1154397115 Steven D Koffman Psychologist 714 E Boone, Rosauer Jcenter Education Rc 268, Spokane, WA 99258-0001 2006-02-28
1295332252 Jennifer Quartermaine Nurse Practitioner 502 E Boone Ave, Spokane, WA 99258-0001 2020-10-02
1821603069 Matthew Harrison Volk Registered Nurse 502 E Boone Ave, Spokane, WA 99258-0001 2020-09-14
1386253276 Adam Berens Student in an Organized Health Care Education/Training Program 502 E Boone Ave, Spokane, WA 99258-0001 2020-07-27
1912549627 Irene A Gielen Student in an Organized Health Care Education/Training Program 502 E Boone Ave, Spokane, WA 99258-0001 2019-10-14
Find all providers in zip 99258

Taxonomy Information

Taxonomy Code 146N00000X
Grouping Emergency Medical Service Providers
Classification Emergency Medical Technician, Basic

Taxonomy Definition

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770012171 John T Messick Emergency Medical Technician, Basic 5410 S Osprey Heights Dr, Spokane, WA 99224 2017-06-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679183412 Alexandra Grace Wooten Emergency Medical Technician, Basic 5043 N Visscher St, Tacoma, WA 98407-2112 2020-08-06
1750905246 Renton Regional Fire Authority Emergency Medical Technician, Basic 18002 108th Ave Se, Renton, WA 98055-6445 2020-06-01
1609404409 Montana Wynn Gubrud Emergency Medical Technician, Basic 1705 Dock St Unit 334, Tacoma, WA 98402-3216 2020-03-29
1295298362 Tricia May Lopez Holway Emergency Medical Technician, Basic 2407 193rd St E, Spanaway, WA 98387-3418 2019-04-07
1477014512 Chet Merklin Emergency Medical Technician, Basic 13075 Gateway Dr S Ste 100, Tukwila, WA 98168-3342 2019-03-29
1104392463 Kalpana Sherpa Emergency Medical Technician, Basic 2696 Erwin Ave, Dupont, WA 98327-8758 2018-10-15
1306311667 Michael Dean Torres Emergency Medical Technician, Basic Madigan Army Medical Center, 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431-1100 2018-10-12
1285125351 Xinhui Huang Emergency Medical Technician, Basic 4815 Wa Tau Ga Ave Ne, Tacoma, WA 98422-1757 2018-05-24
1003304221 Chloe Treleven Emergency Medical Technician, Basic 2840 Eastlake Ave E Apt 312, Seattle, WA 98102-3042 2018-04-23
1104344472 Chalsea Jayne Hicks Nerys Emergency Medical Technician, Basic Madigan Army Medical Center Attn: Mchj-clq-c, Tacoma, WA 98431-0001 2017-09-06
Find all providers with the same taxonomy

Competitor

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City SPOKANE
Zip Code 99258

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Dataset Information

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.

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