City of Puyallup

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

27M09 Issued in WA

Legal business name

CITY OF PUYALLUP

Doing business as

Puyallup Fire & Rescue

Practice address

902 7TH St NW
Puyallup, WA 98371-4101

Phone

(253) 845-6666

NPI assigned

Feb 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Randy Stephens

Title

Medical Officer

Phone

(253) 845-6666

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Puyallup Fire & Rescue Doing business as

Locations

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1285607796",
    "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": "902 7TH ST NW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983714101",
            "telephone_number": "253-845-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PUYALLUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "MEDICAL OFFICER",
        "authorized_official_telephone_number": "253-845-6666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "27M09",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0161618",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9052945",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "PU1220",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590015201",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puyallup Fire & Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claude A Ciancio, MSPT
• Benjamin R. Cichon, PA-C
• Gabriela Nicole Cintron
• Gabriele Hannah Cintron, DPT
• Dara Elizabeth Cirincione
• Blayne Anthony Clanton
• Clara W Brannan DDS, PS
• Dale D Clark
• Howard Sherman Clark, M.D.
• Jessica Ashley Clark, MA

• Land Ambulance in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.