Provider Demographics
NPI:1215901129
Name:CITY OF RICHLAND
Entity type:Organization
Organization Name:CITY OF RICHLAND
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:R
Authorized Official - Middle Name:GRAND
Authorized Official - Last Name:BAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-942-7553
Mailing Address - Street 1:1000 GEORGE WASHINGTON WAY
Mailing Address - Street 2:ATTN AMBULANCE BILLING
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352
Mailing Address - Country:US
Mailing Address - Phone:509-942-7560
Mailing Address - Fax:509-942-7575
Practice Address - Street 1:1000 GEORGE WASHINGTON WAY
Practice Address - Street 2:ATTN AMBULANCE BILLING
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352
Practice Address - Country:US
Practice Address - Phone:509-942-7560
Practice Address - Fax:509-942-7575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA03M04341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID00331920Medicaid
1009350OtherCOMMUITY HEALTH PLAN BHP
228859OtherSTATE OF OR OMAP MEDICAID
26819OtherDEPT OF LABOR & INDUSTRIE
8908412OtherCRIME VICTIMS COMPENSATIO
9133802OtherSTATE OF WA MEDICAID
CAXMTE06456Medicaid
228859OtherCAREOREGON OHP
1009350OtherCOMMUITY HEALTH PLAN BHP