Marysville Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

31M08 Issued in WA

Legal business name

MARYSVILLE FIRE DISTRICT

Practice address

1094 Cedar Ave
Marysville, WA 98270-4233

Phone

(360) 363-8500

NPI assigned

Oct 28, 2008

Last updated

Oct 15, 2012By 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) 363-8501

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1326291071",
    "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": "1094 CEDAR AVE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704233",
            "telephone_number": "360-363-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYSVILLE FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "CORN",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "360-363-8501"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "31M08",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP ENERGY",
            "identifier": "615388100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00682893",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500616219",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0024896",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GA003WA",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "615388100",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "499846",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9039413",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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)
• Marysville Physical Therapy, Inc. (NorthSound Physical Therapy)

• 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 Oct 15, 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.