Organization Active NPI

Ferry County Emergency Medical Services District 1

Doing business as Ferry County EMS District 1

  • Land Ambulance
  • Republic, WA
National Provider Identifier
1356476477
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
10X01 Issued in WA
Legal business name
FERRY COUNTY EMERGENCY MEDICAL SERVICES DISTRICT 1
Doing business as
Ferry County EMS District 1
Practice address
655 S. Keller St.
Republic, WA 99166-8848
Phone
(509) 775-3631
Fax
(509) 775-3631
NPI assigned
Feb 22, 2007
Last updated
Mar 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Phillip Allan Starr, EMT
Title
Agency Director
Phone
(509) 775-3631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 10X01 WA Primary

Addresses

Primary practice location

655 S. Keller St.
Republic, WA 99166-8848

Mailing address

350 E Delaware Ave Stop 17
Republic, WA 99166-9704
Phone (509) 775-3631

Other identifiers 1

IdentifierTypeStateIssuer
9027251MedicaidWA

Other names 1

  • FERRY COUNTY EMS DISTRICT 1 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070613000291 WA Part B Supplier - Ambulance Service Supplier 3577661610 Practice locations: Republic, WA

National Provider Directory

National Provider Directory

Locations

350 E Delaware Ave
Stop 17
Republic, WA 99166

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1356476477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E DELAWARE AVE STOP 17",
            "city": "REPUBLIC",
            "state": "WA",
            "postal_code": "991669704",
            "telephone_number": "509-775-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 S. KELLER ST.",
            "city": "REPUBLIC",
            "state": "WA",
            "postal_code": "991668848",
            "telephone_number": "509-775-3631",
            "fax_number": "509-775-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERRY COUNTY EMERGENCY MEDICAL SERVICES DISTRICT 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "STARR",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "509-775-3631",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "10X01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9027251",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FERRY COUNTY EMS DISTRICT 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Republic, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.