Sethurston Fire Authority

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

34D02 Issued in WA

Legal business name

SETHURSTON FIRE AUTHORITY

Practice address

709 Mill Rd SE
Yelm, WA 98597-8588

Phone

(360) 458-2799

NPI assigned

Feb 23, 2016

Last updated

Feb 21, 2025By 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

Mark King

Title

Fire Chief

Phone

(360) 239-2570

Specialties & licenses 1

Addresses

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": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1386004034",
    "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": "709 MILL RD SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978588",
            "telephone_number": "360-458-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETHURSTON FIRE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "360-239-2570"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "34D02",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sea Mar Community Health Centers
• Sea Mar Community Health Centers
• Sea Mar Community Health Centers
• Sea-Mar Community Health Center (Sea-Mar CHC Yelm SUD)
• Bailey Servoss
• Sharon Rachel Shadwell, M.S.
• Josielyn Ordonio Shaeffer
• Rebecca Ann Shaw
• Megan A Shepardson, LMP
• Judd Sherman, D.D.S.

• Land Ambulance in Yelm, WA
• Providers in Yelm, WA by specialty
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.