Pierce County Fire Dist No 3

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

27D03 Issued in WA

Legal business name

PIERCE COUNTY FIRE DIST NO 3

Practice address

3631 Drexler Dr W
Suite B
University Place, WA 98466-4425

Phone

(253) 564-1623

NPI assigned

Feb 10, 2006

Last updated

Nov 8, 2023By 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

Koree R Wick

Title

Director - Admin Services/Finance

Phone

(253) 564-1623

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• West Pierce Fire & Rescue Other name

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": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1063485837",
    "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": "360-394-7020",
            "fax_number": "360-394-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 DREXLER DR W",
            "address_2": "SUITE B",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664425",
            "telephone_number": "253-564-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE COUNTY FIRE DIST NO 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "WICK",
        "authorized_official_first_name": "KOREE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR - ADMIN SERVICES/FINANCE",
        "authorized_official_telephone_number": "253-564-1623"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "27D03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0099827",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "PI6676",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9040163",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Pierce Fire & Rescue",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "West Pierce Fire & Rescue",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Land Ambulance in University Place, WA
• Providers in University Place, WA by specialty
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.