Active NPI
Mason County Fire Protection District No 16
Doing business as Mason County Fire District 16
- Ambulance
- Shelton, WA
National Provider Identifier
1205301074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- MASON COUNTY FIRE PROTECTION DISTRICT NO 16
- Doing business as
- Mason County Fire District 16
- Practice address
- 4650 W Dayton Airport Rd
Shelton, WA 98584-8093 - Phone
- (360) 426-7343
- NPI assigned
- Oct 9, 2018
- Last updated
- Dec 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Welander Welander
- Title
- Fire Chief
- Phone
- (360) 426-7343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | Primary |
Addresses
Primary practice location
4650 W Dayton Airport Rd
Shelton, WA 98584-8093
Mailing address
PO Box 2436
Shelton, WA 98584-5065
Phone (360) 426-7343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 601641465 | Other | WA | UBI |
Other names 1
- Mason County Fire District 16
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181127002849 | WA | Part B Supplier - Ambulance Service Supplier | 0749524072 | Practice locations: Shelton, WA |
National Provider Directory
National Provider DirectoryLocations
4650 W Dayton Airport Rd
Shelton, WA 98584
Phone (360) 426-7343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545177600000",
"number": "1205301074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2436",
"city": "SHELTON",
"state": "WA",
"postal_code": "985845065",
"telephone_number": "360-426-7343",
"fax_number": "360-426-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 W DAYTON AIRPORT RD",
"city": "SHELTON",
"state": "WA",
"postal_code": "985848093",
"telephone_number": "360-426-7343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASON COUNTY FIRE PROTECTION DISTRICT NO 16",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-09",
"last_updated": "2018-12-19",
"status": "A",
"authorized_official_last_name": "WELANDER",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "WELANDER",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "360-426-7343"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBI",
"identifier": "601641465",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mason County Fire District 16",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mason County Fire District 16",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Shelton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.