Organization Active NPI

Thurston County Fire Dist 5

  • Land Ambulance
  • Olympia, WA
National Provider Identifier
1336127364
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
34D05 Issued in WA
Legal business name
THURSTON COUNTY FIRE DIST 5
Practice address
5911 Black Lake Blvd SW
Olympia, WA 98512-2210
Phone
(360) 352-7288
NPI assigned
Jan 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Steve North
Title
Fire Chief
Phone
(360) 352-7288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 34D05 WA Primary

Addresses

Primary practice location

5911 Black Lake Blvd SW
Olympia, WA 98512-2210

Mailing address

PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7030

Other identifiers 3

IdentifierTypeStateIssuer
2762BLOtherWAREGENCE
0171616OtherWAL&I AND CRIME VICTIMS
9053711MedicaidWA

National Provider Directory

National Provider Directory

Locations

4402 Black Lake Belmore Rd SW
Olympia, WA 98512
Phone (360) 352-7288

5911 Black Lake Blvd SW
Olympia, WA 98512
Phone (360) 352-7288

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1336127364",
    "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": "5911 BLACK LAKE BLVD SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985122210",
            "telephone_number": "360-352-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THURSTON COUNTY FIRE DIST 5",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "NORTH",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "360-352-7288"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "34D05",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "2762BL",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0171616",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9053711",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.