MR. LEE VERNON ELTON (NPI# 1811104334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811104334 |
Entity Type | Individual |
Full Name | MR. LEE VERNON ELTON |
Credential | EMS-IV |
Practice Address |
1 Colville Streets Nespelem WA 99155 |
Practice Telephone | 5096342727 |
Practice Fax Number | 5096342781 |
Mailing Telephone | 5096342727 |
Mailing Fax Number | 5096342781 |
Enumeration Date | 2007-05-16 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 146M00000X | Emergency Medical Technician, Intermediate | 1164569 | WA | Emergency Medical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 9545807 | 05 |
Street Address |
1 COLVILLE STREETS |
City | NESPELEM |
State | WA |
Zip Code | 99155 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841655727 | Brittany Carden | Counselor | 21 Colville St, Nespelem, WA 99155 | 2015-12-21 |
1265855704 | Linda Charlene Bart | Counselor | 19 Sanpoil St, Nespelem, WA 99155 | 2014-02-03 |
1063542645 | Colville Indian Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Agency Campus Hwy 155, Nespelem, WA 99155 | 2007-03-06 |
1306993662 | Gloria H Angelo | Pharmacist | 29 Nespelem-sanpoil, Agency Campus, Nespelem, WA 99155 | 2007-01-05 |
1174607931 | Sandra Lee Nomee | Spec/Tech, Pathology | 29 9th Sanpoil Street, Colville Confederated Tribes Indian Health Services, Nespelem, WA 99155 | 2006-10-25 |
1265529598 | Confederated Tribes of The Colville Reservation | Ambulance | 405 10th St, Nespelem, WA 99155 | 2006-10-06 |
1316954118 | Jose Javier Gomez | Psychologist | 1 Colville St, Nespelem, WA 99155 | 2006-08-02 |
1922038884 | Donald L Sanford | Optometrist | 29 Nespelem/san Poil St, Nespelem, WA 99155 | 2006-07-04 |
1639131386 | Larry D Smith | Emergency Medicine | 19 Lakes Street, Nespelem, WA 99155 | 2006-04-06 |
1467052118 | Gloria Means | Registered Nurse | 19 Lakes St, Nespelem, WA 99155 | 2020-10-30 |
Find all providers in zip 99155 |
Taxonomy Code | 146M00000X |
Grouping | Emergency Medical Service Providers |
Classification | Emergency Medical Technician, Intermediate |
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134337546 | John R Gross | Emergency Medical Technician, Intermediate | 1 Colville Street, Nespelem, WA 99155 | 2007-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760996037 | Douglas Lyle Timpe | Emergency Medical Technician, Intermediate | 1028 N Wenatchee Ave, Wenatchee, WA 98801-1532 | 2017-11-25 |
1356889976 | Michael Robert Berg Thayer | Emergency Medical Technician, Intermediate | Madigan Army Medical Center 9040jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-02-02 |
1699983015 | Jennifer Barr-clendennen | Emergency Medical Technician, Intermediate | 39 Short Cut Rd, Inchelium, WA 99138-0290 | 2007-05-18 |
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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.