County of Benton Fire District No 1

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

03D01 Issued in WA

Legal business name

COUNTY OF BENTON FIRE DISTRICT NO 1

Practice address

7511 W Arrowhead Ave
Suite G
Kennewick, WA 99336-1179

Phone

(509) 737-0911

Fax

(509) 737-0927

NPI assigned

Dec 12, 2008

Last updated

Apr 20, 2015By 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

Lonnie Click

Title

Fire Chief

Phone

(509) 737-0911

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Benton County Fire District 1 Other name

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": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1366687717",
    "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": "7511 W ARROWHEAD AVE",
            "address_2": "SUITE G",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361179",
            "telephone_number": "509-737-0911",
            "fax_number": "509-737-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF BENTON FIRE DISTRICT NO 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "CLICK",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "509-737-0911"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "WA",
            "license": "03D01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I/CRIME VICTIMS",
            "identifier": "0055135",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benton County Fire District 1",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Basic Emergency Medical Technician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Basic Emergency Medical Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.