Active NPI
Pierce County Fire Protection District 13
- Land Ambulance
- Tacoma, WA
National Provider Identifier
1053980227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220106001809 | WA | Part B Supplier - Ambulance Service Supplier | 7911398656 | Practice locations: Tacoma, WA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physician Assistant
- Olympia, WA
- NPI 1285125351
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.