City of Chehalis

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF CHEHALIS

Doing business as

Chehalis Fire Department

Practice address

500 NW Sitka St
Chehalis, WA 98532-8106

Phone

(360) 345-4239

NPI assigned

Oct 11, 2023

Last updated

Oct 18, 2023By 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

Adam J Fulbright

Title

Fire Chief

Phone

(360) 345-4239

Specialties & licenses 2

Addresses

Other names 1

• Chehalis Fire Department Doing business as

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": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1346021615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NW SITKA ST",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985328106",
            "telephone_number": "360-345-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NW SITKA ST",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985328106",
            "telephone_number": "360-345-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CHEHALIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "FULBRIGHT",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "360-345-4239"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chehalis Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chehalis Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle M Chisholm, SUDP
• John H Cho, DDS
• Joshua Christensen, AAS, SUDP
• Paul Y Chung, MD
• Eugene Cilento, OTR/L
• Tina Michelle Clark
• Deborah Ann Clevenger, LPN
• Melinda Ann Close
• Rochelle Deanne Cochrane, M.D.
• Yolanda Raquel Colby, CP 60605910

• Land Ambulance in Chehalis, WA
• Providers in Chehalis, 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 18, 2023; 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.