Benton County Fire Dist No 2

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

03D02 Issued in WA

Legal business name

BENTON COUNTY FIRE DIST NO 2

Practice address

1304 Dale Ave
Benton City, WA 99320-8831

Phone

(509) 588-3212

Fax

(509) 588-4343

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ronald K Duncan Jr.

Title

Fire Chief

Phone

(509) 588-3212

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1104033240",
    "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": "360-394-7010",
            "fax_number": "360-394-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 DALE AVE",
            "city": "BENTON CITY",
            "state": "WA",
            "postal_code": "993208831",
            "telephone_number": "509-588-3212",
            "fax_number": "509-588-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTON COUNTY FIRE DIST NO 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "509-588-3212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "03D02",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027588",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP - FEDERAL WORKER'S COMP",
            "identifier": "618410900",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Henry Adling, D.O.
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• Better Sleep Washington
• McKenzie Lesley Burgess
• Jennifer Burk, RN
• David Carl, M.D.
• Jennifer Dawson, NRP, ATC

• Land Ambulance in Benton City, WA
• Providers in Benton City, WA by specialty
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.