Organization Active NPI

Kittitas County Fire Protection District 2

Doing business as Kittitas Valley Fire & Rescue

  • Land Ambulance
  • Ellensburg, WA
National Provider Identifier
1184774770
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
19D02 Issued in WA
Legal business name
KITTITAS COUNTY FIRE PROTECTION DISTRICT 2
Doing business as
Kittitas Valley Fire & Rescue
Practice address
400 E Mountain View Ave
Ellensburg, WA 98926-3767
Phone
(509) 933-7235
Fax
(509) 933-7245
NPI assigned
Jan 12, 2007
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Sydney McBride
Title
District Secretary
Phone
(509) 933-7231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 19D02 WA Primary

Addresses

Primary practice location

400 E Mountain View Ave
Ellensburg, WA 98926-3767

Mailing address

PO Box 3510
Silverdale, WA 98383-3510
Phone (800) 238-9398

Other identifiers 3

IdentifierTypeStateIssuer
9060591MedicaidWA
0217042OtherWAL&I AND CRIME VICTIMS
P00386706OtherWARAILROAD MEDICARE

Other names 1

  • Kittitas Valley Fire & Rescue Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070424000504 WA Part B Supplier - Ambulance Service Supplier 1557466356 Practice locations: Ellensburg, WA

National Provider Directory

National Provider Directory

Locations

2020 Vantage Hwy
Ellensburg, WA 98926
Phone (509) 933-7236

400 E Mountain View Ave
Ellensburg, WA 98926
Phone (509) 933-7231

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1184774770",
    "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": "800-238-9398",
            "fax_number": "360-394-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E MOUNTAIN VIEW AVE",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263767",
            "telephone_number": "509-933-7235",
            "fax_number": "509-933-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITTITAS COUNTY FIRE PROTECTION DISTRICT 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_title_or_position": "DISTRICT SECRETARY",
        "authorized_official_telephone_number": "509-933-7231"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "19D02",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9060591",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0217042",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00386706",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kittitas Valley Fire & Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.