Active NPI
Jefferson County Fire Protection District 2
- Land Ambulance
- Quilcene, WA
National Provider Identifier
1336575000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 16D02
- Legal business name
- JEFFERSON COUNTY FIRE PROTECTION DISTRICT 2
- Practice address
- 70 Herbert St
Quilcene, WA 98376 - Phone
- (360) 765-3333
- NPI assigned
- Sep 25, 2013
- 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
- Larry Karp
- Title
- Fire Chief
- Phone
- (360) 765-3333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 16D02 | WA | Primary |
Addresses
Primary practice location
70 Herbert St
Quilcene, WA 98376
Mailing address
PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140317000739 | WA | Part B Supplier - Ambulance Service Supplier | 4082845045 | Practice locations: Quilcene, WA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380067200000",
"number": "1336575000",
"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": "360-394-7020",
"fax_number": "360-394-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 HERBERT ST",
"city": "QUILCENE",
"state": "WA",
"postal_code": "98376",
"telephone_number": "360-765-3333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFERSON COUNTY FIRE PROTECTION DISTRICT 2",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-25",
"last_updated": "2013-09-25",
"status": "A",
"authorized_official_last_name": "KARP",
"authorized_official_first_name": "LARRY",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "360-765-3333"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WA",
"license": "16D02",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quilcene, WA
- Amanda Groody
- Kirsten Rebecca Hall, LMT
- Shea S. Harrington, LMHCA
- Elizabeth Patricia Hendricks, M.A., L.M.H.C.
- Jackie Marie Jacques, PTA 16675171
- Jefferson County Public Hospital District No 2 (South County Medical Clinic)
- Ann Mrlowe Kittredge, LMP
- Keith David Meyer, D.C.
- Thomas D Meyer, LMP, CCSP
- Merrily Mount, A.R.N.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.