NPIMap

Organization Active NPI

Grant County Fire District No

  • Emergency Medical Services (Emergency Medicine) Physician
  • Moses Lake, WA
National Provider Identifier
1366420341
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
13M18 Issued in WA
Legal business name
GRANT COUNTY FIRE DISTRICT NO
Practice address
11058 Nelson Road NE
Moses Lake, WA 98837-8812
Phone
(509) 765-3175
Fax
(509) 765-3550
NPI assigned
Jan 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Roger Hansen
Title
Fire Chief
Phone
(509) 765-3175

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0004X 13M18 WA Primary
Ambulance 341600000X 13D05 WA

Addresses

Primary practice location

11058 Nelson Road NE
Moses Lake, WA 98837-8812

Mailing address

4251 Kipling Street
Suite 200
Wheatridge, CO 80033
Phone (303) 329-9044

Other identifiers 2

IdentifierTypeStateIssuer
6053257MedicaidWA
163229OtherWALABOR & INDUSTRIES

National Provider Directory

National Provider Directory
Tax ID family
Grant County FPD 10 Am6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1366420341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 KIPLING STREET",
            "address_2": "SUITE 200",
            "city": "WHEATRIDGE",
            "state": "CO",
            "postal_code": "80033",
            "telephone_number": "303-329-9044",
            "fax_number": "303-336-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11058 NELSON ROAD NE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988378812",
            "telephone_number": "509-765-3175",
            "fax_number": "509-765-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT COUNTY FIRE DISTRICT NO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "509-765-3175"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "WA",
            "license": "13M18",
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WA",
            "license": "13D05",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6053257",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "163229",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.