Active NPI
Thurston County Fire Dist 5
- Land Ambulance
- Olympia, WA
National Provider Identifier
1336127364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 34D05
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2762BL | Other | WA | REGENCE |
| 0171616 | Other | WA | L&I AND CRIME VICTIMS |
| 9053711 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
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
- Thrifty Payless Inc (Rite Aid Pharmacy 05278)
- Thrive TMS, LLC
- Katherine Thunell, OTR/L
- Julie Michelle Thurman
- Thurston County
- Thurston County Fire Protection Dist 6
- Thurston County Fire Protection District 13 (Griffin Fire Department)
- Thurston County Fire Protection District No 9 (McLane Fire & Life Safety)
- Thurston County FPD #11 (Littlerock Fire & Rescue)
- Thurston County Public Health & Social Services
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.