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Contact Information

AMBASSADOR'S HEALTH ALLIANCE
4 STOLLER RD
TROUT LAKE, WA98650-9712
 Phone: 509-395-2061
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AMBASSADOR'S HEALTH ALLIANCE

NPI # 1881125284
LBN Legal business name AMBASSADOR'S HEALTH ALLIANCE
Authorized official TOBIN RUMMEL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/27/2017
Last updated 05/13/2026 - About a month ago
Identifiers
OR License # 200750145NP
OR License # DO157483
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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