Quilcene Volunteer Fire Dept Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

16X03 Issued in WA

Legal business name

QUILCENE VOLUNTEER FIRE DEPT INC

Practice address

70 Herbert St
Quilcene, WA 98376

Phone

(360) 765-3333

NPI assigned

Feb 13, 2006

Organization subpart

No

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

Authorized official

Name

Robert W Moser

Title

Fire Chief

Phone

(360) 765-3333

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1083688519",
    "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": "70 HERBERT ST",
            "city": "QUILCENE",
            "state": "WA",
            "postal_code": "98376",
            "telephone_number": "360-765-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUILCENE VOLUNTEER FIRE DEPT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "360-765-3333"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "16X03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "590012798",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0194701",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "337451200",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9251505",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "QU0175",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas D Meyer, LMP, CCSP
• Merrily Mount, A.R.N.P.
• Tamsin Jade Pargiter
• Genevieve D Pate, ARNP
• Quilcene School District
• Shauna Coleman Enterprises Inc
• Heather Spencer, L.AC.
• Dora Whittaker, RN
• Shauna Woodmansee-Coleman, P.T.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.