Organization Active NPI

Mason County Fire Protection District No 16

Doing business as Mason County Fire District 16

  • Ambulance
  • Shelton, WA
National Provider Identifier
1205301074
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
601641465OtherWAUBI

Other names 1

  • Mason County Fire District 16 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181127002849 WA Part B Supplier - Ambulance Service Supplier 0749524072 Practice locations: Shelton, WA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.