Columbia County Fire Dist 3

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

07D03 Issued in WA

Legal business name

COLUMBIA COUNTY FIRE DIST 3

Practice address

206 W Main St
#2
Dayton, WA 99328-1230

Phone

(509) 382-4281

Fax

(509) 382-2845

NPI assigned

Jan 8, 2006

Last updated

Jan 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Turner

Title

Chief

Phone

(509) 382-4281

Specialties & licenses 1

Addresses

Other identifiers 5

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": "1136678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1043298102",
    "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": "206 W MAIN ST",
            "address_2": "#2",
            "city": "DAYTON",
            "state": "WA",
            "postal_code": "993281230",
            "telephone_number": "509-382-4281",
            "fax_number": "509-382-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA COUNTY FIRE DIST 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-08",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "509-382-4281"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "07D03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00242339",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9056771",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807654000",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0143925",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "8376CO",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lea Burnett, NP
• Kendall Todd Carman-Wagner, LICSW
• Kathleen A Casseday, ARNP
• Chrisann T Christensen, LMHC
• Sherena Gwenevere Clements, RN
• Columbia County Hospital District (Columbia County Health System)
• Columbia County Hospital District (Columbia Family Clinic)
• Columbia County Hospital District (Dayton General Hospital Swing Bed)
• Columbia County Hospital District
• Columbia County Hospital District (Medicare Defined Swing Bed)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.