NPIMap

Organization Active NPI

Mason Co FPD No 3

  • Land Ambulance
  • Grapeview, WA
National Provider Identifier
1063499432
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
23D03 Issued in WA
Legal business name
MASON CO FPD NO 3
Practice address
4350 E Grapeview Loop Rd
Grapeview, WA 98546
Phone
(360) 275-4483
NPI assigned
Dec 28, 2005
Last updated
Nov 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Authorized official

Name
Ms. Patti Graeber
Title
Fire Chief
Phone
(360) 275-4483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 23D03 WA Primary

Addresses

Primary practice location

4350 E Grapeview Loop Rd
Grapeview, WA 98546

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
9043365MedicaidWA
0107070OtherWAL&I AND CRIME VICTIMS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1063499432",
    "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": "4350 E GRAPEVIEW LOOP RD",
            "city": "GRAPEVIEW",
            "state": "WA",
            "postal_code": "98546",
            "telephone_number": "360-275-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON CO FPD NO 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "GRAEBER",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "360-275-4483",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "23D03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9043365",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0107070",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapeview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.