Organization Active NPI

Benton County Fire Protection District 6

  • Land Ambulance
  • Paterson, WA
National Provider Identifier
1255657003
Registry record updated Feb 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
AMBV.ES.00000011 Issued in WA
Legal business name
BENTON COUNTY FIRE PROTECTION DISTRICT 6
Practice address
48001 Prior Avenue
Paterson, WA 99345
Phone
(509) 875-2029
Fax
(509) 875-2310
NPI assigned
Apr 19, 2010
Last updated
Feb 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2015

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

Authorized official

Name
Rolland Watt
Title
Fire Chief
Phone
(509) 875-2029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X AMBV.ES.00000011 WA Primary

Addresses

Primary practice location

48001 Prior Avenue
Paterson, WA 99345

Mailing address

PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150626000323 WA Part B Supplier - Ambulance Service Supplier 9133430523 Practice locations: Paterson, WA; Plymouth, WA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423267200000",
    "number": "1255657003",
    "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": "360-394-7020",
            "fax_number": "360-394-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48001 PRIOR AVENUE",
            "city": "PATERSON",
            "state": "WA",
            "postal_code": "99345",
            "telephone_number": "509-875-2029",
            "fax_number": "509-875-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTON COUNTY FIRE PROTECTION DISTRICT 6",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2015-02-07",
        "status": "A",
        "authorized_official_last_name": "WATT",
        "authorized_official_first_name": "ROLLAND",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "509-875-2029"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "AMBV.ES.00000011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2015; 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.