Active NPI
Enumclaw Fire Department
- Land Ambulance
- Enumclaw, WA
National Provider Identifier
1336432079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 17M06
- Legal business name
- ENUMCLAW FIRE DEPARTMENT
- Practice address
- 1330 Wells St
Enumclaw, WA 98022-2607 - Phone
- (360) 825-5544
- NPI assigned
- May 26, 2011
- Last updated
- Aug 11, 2017
- 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
- Randy Fehr
- Title
- Fire Chief
- Phone
- (360) 825-5544
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 17M06 | WA | Primary |
Addresses
Primary practice location
1330 Wells St
Enumclaw, WA 98022-2607
Mailing address
PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0280019 | Other | WA | L&I AND CRIME VICTIMS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110726000884 | WA | Part B Supplier - Ambulance Service Supplier | 6507034105 | Practice locations: Enumclaw, WA |
National Provider Directory
National Provider DirectoryLocations
1330 Wells St
Enumclaw, WA 98022
Phone (360) 825-5544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1502409600000",
"number": "1336432079",
"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": "1330 WELLS ST",
"city": "ENUMCLAW",
"state": "WA",
"postal_code": "980222607",
"telephone_number": "360-825-5544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENUMCLAW FIRE DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-26",
"last_updated": "2017-08-11",
"status": "A",
"authorized_official_last_name": "FEHR",
"authorized_official_first_name": "RANDY",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "360-825-5544"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WA",
"license": "17M06",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I AND CRIME VICTIMS",
"identifier": "0280019",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Enumclaw, WA
- Ear Nose Throat Facial Plastic Surgery and Allergy of Western Wa
- Dennis Ray Eldridge, DPT
- John Richard Endres, ND
- Enumclaw Family Chiropractic PLLC
- Enumclaw Family Optometry Clinic PS
- Enumclaw Internal Medicine and Diagnostics, PS
- Enumclaw Radiologists PLLC
- Enumclaw Regional Hospital Association (St. Elizabeth Hospital)
- Enumclaw Regional Hospital Association (St. Elizabeth Anesthesia Group)
- Enumclaw Regional Hospital Association (St Elizabeth Hosptial)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2017; 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.