Cowlitz County Fire District 6

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

08D06 Issued in WA

Legal business name

COWLITZ COUNTY FIRE DISTRICT 6

Practice address

146 A St
Castle Rock, WA 98611-0030

Phone

(360) 274-4413

NPI assigned

Oct 13, 2006

Last updated

Oct 25, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Robert Lemonds

Title

Fire Chief

Phone

(360) 274-4413

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1194815589",
    "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": "146 A ST",
            "city": "CASTLE ROCK",
            "state": "WA",
            "postal_code": "986110030",
            "telephone_number": "360-274-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COWLITZ COUNTY FIRE DISTRICT 6",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "LEMONDS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "360-274-4413"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "08D06",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "1084CO",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9060492",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0218115",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Castle Rock
• Melinda Conn
• Leah Cooke, LMP
• Jennifer M Cooney, MS, CC, RBT, CBT
• Rachel Cornman, COTA/L
• Cowlitz Family Health Center (Family Health Center Castle Rock Clinic)
• Cowlitz Family Health Center
• Lily Barbosa Crocco, DMD
• Arika Davidson, RND
• Crystal L Davis, LMP

• Land Ambulance in Castle Rock, WA
• Providers in Castle Rock, 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, 2017; 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.