MS. JOLEEN ANNE MOLLENBERG EMT-B NPI 1003023300
Emergency Medical Technician, Basic in Nespelem, WA
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 Name | MS. JOLEEN ANNE MOLLENBERG EMT-B |
| Provider Location Address | 1 COLVILLE STREET NESPELEM, WA 99155 |
| Provider Mailing Address | 1 COLVILLE STREET NESPELEM, WA 99155 |
| Gender | Female |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 05-17-2007 |
| Last Update Date | 07-09-2007 |
Primary Taxonomy
| Taxonomy Code | 146N00000X |
| Classification | Emergency Medical Technician, Basic |
| Type | Emergency Medical Service Providers |
| License No. | 0119015 |
| License State | WA |
| Taxonomy Description | A 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
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 |
|---|---|---|
| 9545807 | MEDICAID (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 |
|---|---|---|---|
| 1174625446 | COLVILLE 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 Pathologist | 1 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, Basic | 1 COLVILLE STREET NESPELEM, WA 99155 (509) 634-2727 |
| 1427265024 | MR. WILLIAM ARCHIE DENNIS EMT-B Individual | Emergency Medical Technician, Basic | 1 COLVILLE STREET NESPELEM, WA 99155 (509) 634-2727 |
| 1336356732 | MRS. KRISTIN JEANINE KOEPKE EMT-B Individual | Emergency Medical Technician, Basic | 1 COLVILLE STREET NESPELEM, WA 99155 (509) 634-2727 |
| 1184831745 | MRS. JOSEPHINE E MARCELLEY LICSW Individual | Counselor (Mental Health) | 1 COLVILLE STREET NESPELEM, WA 99155 (509) 634-2727 |
| 1205043718 | MR. JESSE PAUL SCHUMACHER EMS-B Individual | Emergency Medical Technician, Basic | 1 COLVILLE STREET NESPELEM, WA 99155 (509) 637-2727 |
| 1306053715 | MRS. STEPHANIE ALICE SCHUMACHER EMT-B Individual | Emergency Medical Technician, Basic | 1 COLVILLE STREET NESPELEM, WA 99155 (509) 634-2727 |
| 1265649552 | RONALD LAWRENCE SHAFFER EMT-B Individual | Emergency Medical Technician, Basic | 1 COLVILLE STREET NESPELEM, WA 99155 (509) 634-2727 |
| 1750598041 | SERENNA KATHLEEN TAYLOR EMT-B Individual | Emergency Medical Technician, Basic | 1 COLVILLE STREET NESPELEM, WA 99155 (509) 634-2727 |
| 1063629350 | MRS. LORINDA ANN GOODMAN EMT-B Individual | Emergency Medical Technician, Basic | 1 COLVILLE STREET NESPELEM, WA 99155 (509) 634-2727 |
| 1851508147 | MS. DONITA A SWAN EMT-B Individual | Emergency Medical Technician, Basic | 1 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.