San Juan County Fire District #4

Primary specialty

AmbulanceTaxonomy code 341600000X

License

28D04 Issued in WA

Legal business name

SAN JUAN COUNTY FIRE DISTRICT #4

Practice address

2228 Fisherman Bay Rd
Lopez Island, WA 98261-8676

Phone

(360) 468-2991

Fax

(360) 468-3716

NPI assigned

Jun 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John R Ungaretti, CCEMTP

Title

General Manager

Phone

(406) 549-7104

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

San Juan County Fire Protection District 42 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• San Juan County Fire Protection District 4

  • Land Ambulance
  • Lopez Island, WA
  • NPI 1649398405
  NPD tax ID

Locations

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265634323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 BURLINGTON AVE",
            "address_2": "SUITE C",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015681",
            "telephone_number": "406-549-7104",
            "fax_number": "406-542-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 FISHERMAN BAY RD",
            "city": "LOPEZ ISLAND",
            "state": "WA",
            "postal_code": "982618676",
            "telephone_number": "360-468-2991",
            "fax_number": "360-468-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN COUNTY FIRE DISTRICT #4",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UNGARETTI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "406-549-7104",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CCEMTP"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WA",
            "license": "28D04",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9046061",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Jean Pulver, MA
• Amy Kathryn Ray, MSW
• Joseph Seibel Reynolds, DDS
• Samuel Charles Rich, PA-C
• Hannah Rose, LMP
• San Juan County Fire Protection District 4
• Helen Mackay Sanders, L.AC.
• Sea Mar Community Health Centers
• Alina Marie Simpson, LMT
• Tao of Health

• Ambulance in Lopez Island, WA
• Providers in Lopez Island, WA by specialty
• Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.