MS. JOLEEN ANNE MOLLENBERG EMT-B NPI 1003023300

Emergency Medical Technician, Basic in Nespelem, WA

NPI 1003023300 Individual Female Emergency Medical Technician, Basic

About JOLEEN MOLLENBERG

Joleen Mollenberg is a provider established in Nespelem, Washington and her medical specialization is emergency medical technician, basic. The NPI number of Joleen Mollenberg is 1003023300 and was assigned on May 2007. The practitioner's primary taxonomy code is 146N00000X with license number 0119015 (WA). The provider is registered as an individual and her NPI record was last updated 14 years ago.

Joleen Mollenberg is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003023300

Provider NameMS. JOLEEN ANNE MOLLENBERG EMT-B
Provider Location Address1 COLVILLE STREET NESPELEM, WA 99155
Provider Mailing Address1 COLVILLE STREET NESPELEM, WA 99155
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-17-2007
Last Update Date07-09-2007


Primary Taxonomy

Taxonomy Code146N00000X
ClassificationEmergency Medical Technician, Basic
TypeEmergency Medical Service Providers
License No.0119015
License StateWA
Taxonomy DescriptionA Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

Business Address

MS. JOLEEN ANNE MOLLENBERG EMT-B
1 COLVILLE STREET
NESPELEM, WA
ZIP 99155
Phone: (509) 634-2727
Fax: (509) 634-2781

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Mailing Address

MS. JOLEEN ANNE MOLLENBERG EMT-B
1 COLVILLE STREET
NESPELEM, WA
ZIP 99155
Phone: (509) 634-2727
Fax: (509) 634-2781



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
9545807MEDICAID (05)WA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174625446COLVILLE CONFEDERATED TRIBES
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1 COLVILLE STREET
NESPELEM, WA 99155
(509) 634-2433
1225256530 BERNADINE VILLEGAS CDP
Individual
Counselor (Addiction (Substance Use Disorder))1 COLVILLE STREET
NESPELEM, WA 99155
(509) 634-2727
1295953669 DEE A GUNSHOWS RC
Individual
Counselor (Addiction (Substance Use Disorder))1 COLVILLE STREET
NESPELEM, WA 99155
(509) 634-2727
1558589937 LAWRENCE J FRY SR. CDP
Individual
Counselor (Addiction (Substance Use Disorder))1 COLVILLE STREET
NESPELEM, WA 99155
(509) 634-2727
1356569677 LAURAE A MACCLAIN RC
Individual
Counselor (Mental Health)1 COLVILLE STREET
NESPELEM, WA 99155
(509) 634-2727
1396963864 RAMONA C CAMPOBASSO RC
Individual
Counselor (Mental Health)1 COLVILLE STREET
NESPELEM, WA 99155
(509) 634-2727
1568680031 JAMES G PERKINS RC
Individual
Counselor (Mental Health)1 COLVILLE STREET
NESPELEM, WA 99155
(509) 634-2727
1225256795 RICHARD A MANNING RC
Individual
Speech-Language Pathologist1 COLVILLE STREET
NESPELEM, WA 99155
(509) 634-2727
1396963625 MARCELLA R PALMER LW
Individual
Counselor (Mental Health)1 COLVILLE STREET
NESPELEM, WA 99155
(509) 634-2727
1659599033 PHYLLIS J ERICKSON RC
Individual
Social Worker (Clinical)1 COLVILLE STREET
NESPELEM, WA 99155
(509) 634-2727
1619184041 RONALD JAMES WHITNEY EMT
Individual
Emergency Medical Technician, Basic1 COLVILLE STREET
NESPELEM, WA 99155
(509) 634-2727
1427265024MR. WILLIAM ARCHIE DENNIS EMT-B
Individual
Emergency Medical Technician, Basic1 COLVILLE STREET
NESPELEM, WA 99155
(509) 634-2727
1336356732MRS. KRISTIN JEANINE KOEPKE EMT-B
Individual
Emergency Medical Technician, Basic1 COLVILLE STREET
NESPELEM, WA 99155
(509) 634-2727
1184831745MRS. JOSEPHINE E MARCELLEY LICSW
Individual
Counselor (Mental Health)1 COLVILLE STREET
NESPELEM, WA 99155
(509) 634-2727
1205043718MR. JESSE PAUL SCHUMACHER EMS-B
Individual
Emergency Medical Technician, Basic1 COLVILLE STREET
NESPELEM, WA 99155
(509) 637-2727
1306053715MRS. STEPHANIE ALICE SCHUMACHER EMT-B
Individual
Emergency Medical Technician, Basic1 COLVILLE STREET
NESPELEM, WA 99155
(509) 634-2727
1265649552 RONALD LAWRENCE SHAFFER EMT-B
Individual
Emergency Medical Technician, Basic1 COLVILLE STREET
NESPELEM, WA 99155
(509) 634-2727
1750598041 SERENNA KATHLEEN TAYLOR EMT-B
Individual
Emergency Medical Technician, Basic1 COLVILLE STREET
NESPELEM, WA 99155
(509) 634-2727
1063629350MRS. LORINDA ANN GOODMAN EMT-B
Individual
Emergency Medical Technician, Basic1 COLVILLE STREET
NESPELEM, WA 99155
(509) 634-2727
1851508147MS. DONITA A SWAN EMT-B
Individual
Emergency Medical Technician, Basic1 COLVILLE STREET
NESPELEM, WA 99155
(509) 634-2727

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.