Marysville Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

31M08 Issued in WA

Legal business name

MARYSVILLE FIRE DISTRICT

Practice address

1635 Grove St
Marysville, WA 98270-4301

Phone

(360) 363-8500

NPI assigned

Feb 10, 2006

Last updated

May 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Greg Corn

Title

Fire Chief

Phone

(360) 363-8500

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1326011107",
    "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": "1635 GROVE ST",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704301",
            "telephone_number": "360-363-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYSVILLE FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "CORN",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "360-363-8500"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "31M08",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9039413",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "MA9337",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0242896",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Navdeep Singh Mahil, LMP
• Annette G Maier, RN, LMT
• Michael K Malmevik, RPH
• Nanda K Manogaran, DDS
• Maren Lee Mansfield, ARNP
• Marysville Fire District
• Marysville Foot & Ankle Clinic
• Marysville Foot and Ankle Clinic
• Marysville Kids Dentistry
• Marysville Operations, LLC (Marysville Care Center)

• Land Ambulance in Marysville, WA
• Providers in Marysville, 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.