Kitsap County Fire District 18

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

18M04 Issued in WA

Legal business name

KITSAP COUNTY FIRE DISTRICT 18

Practice address

911 NE Liberty Rd
Poulsbo, WA 98370-8573

Phone

(360) 779-3997

NPI assigned

Feb 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel Olson

Title

Fire Chief

Phone

(360) 779-3997

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Poulsbo Fire Department Other name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1023080397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3510",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983833510",
            "telephone_number": "360-394-7030",
            "fax_number": "360-394-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 NE LIBERTY RD",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708573",
            "telephone_number": "360-779-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITSAP COUNTY FIRE DISTRICT 18",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "360-779-3997"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "18M04",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "499784",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9048505",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "590013566",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "KI6548",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "133015",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poulsbo Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jonathan King, E.A.M.P.
• Nobuhiko Kira, MD
• Marcy Kispert, LMP
• Kitsap Chest Consultants, PLLC
• Kitsap Chiropractors PLLC
• Kitsap Dental
• Kitsap Eyecare Centers Inc PS
• Kitsap Family Acupuncture
• Kitsap Gastro and Liver Clinic, PLLC
• Kitsap Physical Therapy and Sports Clinic PS Inc

• Land Ambulance in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.