NPIMap

Organization Active NPI

Thurston County FPD #11

Doing business as Littlerock Fire & Rescue

  • Land Ambulance
  • Olympia, WA
National Provider Identifier
1033183678
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
34D11 Issued in WA
Legal business name
THURSTON COUNTY FPD #11
Doing business as
Littlerock Fire & Rescue
Practice address
10828 Littlerock Rd SW
Olympia, WA 98512-8525
Phone
(360) 352-1614
NPI assigned
Feb 13, 2006
Last updated
May 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Authorized official

Name
Russ Kaleiwahea
Title
Chief
Phone
(360) 352-1614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 34D11 WA Primary

Addresses

Primary practice location

10828 Littlerock Rd SW
Olympia, WA 98512-8525

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
9053158MedicaidWA
0164585OtherWAL&I AND CRIME VICTIMS
181845MedicaidOR
9113LIOtherWAREGENCE

Other names 1

  • Littlerock Fire & Rescue Doing business as

National Provider Directory

National Provider Directory

Locations

10828 Littlerock Rd SW
Olympia, WA 98512
Phone (360) 352-1614

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1033183678",
    "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": "10828 LITTLEROCK RD SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985128525",
            "telephone_number": "360-352-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THURSTON COUNTY FPD #11",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "KALEIWAHEA",
        "authorized_official_first_name": "RUSS",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "360-352-1614"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "34D11",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9053158",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0164585",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181845",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "9113LI",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Littlerock Fire & Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.