Organization Active NPI

Pend Oreille Fire 3

  • Land Ambulance
  • Newport, WA
National Provider Identifier
1215476379
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
26D03 Issued in WA
Legal business name
PEND OREILLE FIRE 3
Doing business as
South Pend Oreille Fire & Rescue
Practice address
325272 Highway 2
Newport, WA 99156-9354
Phone
(509) 447-5305
NPI assigned
Feb 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Michael E Nokes
Title
Fire Chief
Phone
(509) 447-5305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 26D03 WA Primary

Addresses

Primary practice location

325272 Highway 2
Newport, WA 99156-9354

Mailing address

PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7010

Other names 1

  • South Pend Oreille 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
O20170421001369 WA Part B Supplier - Ambulance Service Supplier 9335425610 Practice locations: Newport, WA

National Provider Directory

National Provider Directory

Locations

11 Jermain Rd
Newport, WA 99156
Phone (509) 447-5305

301 W 2nd St
Newport, WA 99156
Phone (509) 447-5305

7572 Leclerc Rd S
Newport, WA 99156
Phone (509) 447-5305

325272 Highway 2
Newport, WA 99156
Phone (509) 447-5305

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1215476379",
    "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": "325272 HIGHWAY 2",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991569354",
            "telephone_number": "509-447-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEND OREILLE FIRE 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "NOKES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "509-447-5305"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "26D03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Pend Oreille Fire & Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.