Organization Active NPI

Pierce County Fire Protection District 13

  • Land Ambulance
  • Tacoma, WA
National Provider Identifier
1053980227
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PIERCE COUNTY FIRE PROTECTION DISTRICT 13
Practice address
4815 Wa Tau Ga Ave NE
Tacoma, WA 98422-1757
Phone
(253) 952-4776
NPI assigned
Jun 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Authorized official

Name
Mr. James Warren Wassall
Title
Fire Chief
Phone
(253) 952-4776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

4815 Wa Tau Ga Ave NE
Tacoma, WA 98422-1757

Mailing address

4815 Wa Tau Ga Ave NE
Tacoma, WA 98422-1757
Phone (253) 952-4776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220106001809 WA Part B Supplier - Ambulance Service Supplier 7911398656 Practice locations: Tacoma, WA

National Provider Directory

National Provider Directory

Locations

4815 Wa Tau Ga Ave NE
Tacoma, WA 98422
Phone (253) 952-4776

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1053980227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 WA TAU GA AVE NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984221757",
            "telephone_number": "253-952-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 WA TAU GA AVE NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984221757",
            "telephone_number": "253-952-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE COUNTY FIRE PROTECTION DISTRICT 13",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "WASSALL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "253-952-4776",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.