NPIMap

Organization Active NPI

Lewis County Fire District No 10

  • Land Ambulance
  • Packwood, WA
National Provider Identifier
1083760219
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
21D10 Issued in WA
Legal business name
LEWIS COUNTY FIRE DISTRICT NO 10
Practice address
12953 US Highway 12
Packwood, WA 98361-0270
Phone
(360) 494-4123
NPI assigned
Jan 29, 2007
Last updated
Aug 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Miss Barbara J Wright
Title
District Secretary
Phone
(360) 494-4123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 21D10 WA Primary

Addresses

Primary practice location

12953 US Highway 12
Packwood, WA 98361-0270

Mailing address

PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7020

Other identifiers 3

IdentifierTypeStateIssuer
0091002OtherWAL&I/CRIME VICTIMS
1060126MedicaidWA
590006459OtherWARAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080423000368 WA Part B Supplier - Ambulance Service Supplier 2062590698 Practice locations: Packwood, WA

National Provider Directory

National Provider Directory
Tax ID family
Lewis County Fire District No 103 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1083760219",
    "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": "360-394-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12953 US HIGHWAY 12",
            "city": "PACKWOOD",
            "state": "WA",
            "postal_code": "983610270",
            "telephone_number": "360-494-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS COUNTY FIRE DISTRICT NO 10",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DISTRICT SECRETARY",
        "authorized_official_telephone_number": "360-494-4123",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "21D10",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I/CRIME VICTIMS",
            "identifier": "0091002",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1060126",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590006459",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Packwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.