Organization Active NPI

Thurston County Fire Protection District No 9

Doing business as McLane Fire & Life Safety

  • Land Ambulance
  • Olympia, WA
National Provider Identifier
1225002868
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
34D09 Issued in WA
Legal business name
THURSTON COUNTY FIRE PROTECTION DISTRICT NO 9
Doing business as
McLane Fire & Life Safety
Practice address
125 Delphi Rd NW
Olympia, WA 98502-1778
Phone
(360) 866-1000
NPI assigned
Feb 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Steve R North
Title
Chief
Phone
(360) 866-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 34D09 WA Primary

Addresses

Primary practice location

125 Delphi Rd NW
Olympia, WA 98502-1778

Mailing address

PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7030

Other identifiers 4

IdentifierTypeStateIssuer
181845MedicaidOR
9036294MedicaidWA
TH0044OtherWAREGENCE
77085OtherWAL&I AND CRIME VICTIMS

Other names 1

  • McLane Fire & Life Safety Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120222000509 WA Part B Supplier - Ambulance Service Supplier 4082872080 Practice locations: Olympia, WA

National Provider Directory

National Provider Directory

Locations

125 Delphi Rd NW
Olympia, WA 98502
Phone (360) 866-1000

2815 Summit Lake Shore Rd NW
Olympia, WA 98502
Phone (360) 866-8130

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1225002868",
    "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": "125 DELPHI RD NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021778",
            "telephone_number": "360-866-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THURSTON COUNTY FIRE PROTECTION DISTRICT NO 9",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "NORTH",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "360-866-1000"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "34D09",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181845",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9036294",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "TH0044",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "77085",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLane Fire & Life Safety",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.