Active NPI
Whitman County Fire Protection District 7
- Land Ambulance
- Rosalia, WA
National Provider Identifier
1356797872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 38D07
- Legal business name
- WHITMAN COUNTY FIRE PROTECTION DISTRICT 7
- Practice address
- 607 S Whitman Ave
Rosalia, WA 99170-7012 - Phone
- (509) 523-3151
- Fax
- (509) 523-2302
- NPI assigned
- May 13, 2016
- 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
- Ronald James Willey
- Title
- EMS Captain, Ambulance Coordinator
- Phone
- (509) 523-3151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 38D07 | WA | Primary |
Addresses
Primary practice location
607 S Whitman Ave
Rosalia, WA 99170-7012
Mailing address
PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7010
Other names 1
- Rosalia Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161011002249 | WA | Part B Supplier - Ambulance Service Supplier | 8022306836 | Practice locations: Rosalia, WA; Thornton, WA |
National Provider Directory
National Provider DirectoryLocations
4706 Old Thornton Hwy
Thornton, WA 99176
Phone (509) 523-3151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476230400000",
"number": "1356797872",
"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": "360-394-7010",
"fax_number": "360-394-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 S WHITMAN AVE",
"city": "ROSALIA",
"state": "WA",
"postal_code": "991707012",
"telephone_number": "509-523-3151",
"fax_number": "509-523-2302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITMAN COUNTY FIRE PROTECTION DISTRICT 7",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-13",
"last_updated": "2016-10-12",
"status": "A",
"authorized_official_last_name": "WILLEY",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "EMS CAPTAIN, AMBULANCE COORDINATOR",
"authorized_official_telephone_number": "509-523-3151"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WA",
"license": "38D07",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rosalia Fire Department",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rosalia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.