Organization Active NPI

King County Fire Protection District 43

  • Land Ambulance
  • Maple Valley, WA
National Provider Identifier
1023080777
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
17D43 Issued in WA
Legal business name
KING COUNTY FIRE PROTECTION DISTRICT 43
Practice address
23775 SE 264TH St
Maple Valley, WA 98038-5843
Phone
(425) 432-0200
NPI assigned
Feb 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Brad Doerflinger
Title
Fire Chief
Phone
(425) 432-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 17D43 WA Primary

Addresses

Primary practice location

23775 SE 264TH St
Maple Valley, WA 98038-5843

Mailing address

PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7030

Other identifiers 5

IdentifierTypeStateIssuer
0204864OtherWAL&I AND CRIME VICTIMS
P00342999OtherWARAILROAD MEDICARE PTAN
615358300OtherWAOWCP
9058066MedicaidWA
8561MAOtherWAREGENCE

Other names 1

  • Maple Valley Fire & Life Safety Other name

National Provider Directory

National Provider Directory

Locations

22225 SE 231st St
Maple Valley, WA 98038
Phone (425) 433-2181

27250 216th Ave SE
Maple Valley, WA 98038
Phone (425) 433-2183

23775 SE 264th St
Maple Valley, WA 98038
Phone (425) 432-0200

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1023080777",
    "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": "23775 SE 264TH ST",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385843",
            "telephone_number": "425-432-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING COUNTY FIRE PROTECTION DISTRICT 43",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "DOERFLINGER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "425-432-0200"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "17D43",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0204864",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00342999",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "615358300",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9058066",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "8561MA",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Valley Fire & Life Safety",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Maple Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.