GROOM ENTERPRISES NPI 1790851293

NPI Information

NPI: 1790851293
Provider Name: GROOM ENTERPRISES

Doing Business As: NEWPORT AMBULANCE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
117 S WASHINGTON AVE
NEWPORT, WA
ZIP 99156
Phone: (509) 447-4108
Get Directions

GROOM ENTERPRISES is a land transport ambulance in Newport, WA. GROOM ENTERPRISES NPI is 1790851293. The provider is registered as an organization entity type.
The provider Is Doing Business As Newport Ambulance.

The provider's business location address is:

117 S WASHINGTON AVE
NEWPORT, WA
ZIP 99156-665
Phone: (509) 447-4108

The provider's authorized official is Steven C Groom .
The authorized official title is President and has the following contact phone number (509) 447-4108.

The enumeration date for this NPI number is 11/27/2006 and was last updated on 3/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	26X02	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9120502	MEDICAID	WASHINGTON
2	804257500	MEDICAID	IDAHO
3	G000301100	MEDICARE PIN	WASHINGTON
4	00393077	OTHER	WASHINGTON	WASHINGTON L&I
5	BMKM0	OTHER	IDAHO	BLUE CROSS IDAHO
6	590012622	MEDICARE PIN	WASHINGTON
7	00001004260	OTHER	IDAHO	BLUE SHIELD IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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