Active NPI
Wahkiakum County Fire Protection District No 3
- Land Ambulance
- Grays River, WA
National Provider Identifier
1386610798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 35D03
- Legal business name
- WAHKIAKUM COUNTY FIRE PROTECTION DISTRICT NO 3
- Practice address
- 8 Hull Creek Rd
Grays River, WA 98621-9717 - Phone
- (360) 465-2636
- NPI assigned
- Feb 24, 2006
- Last updated
- Apr 9, 2013
- 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
- Rob Maki
- Title
- Fire Chief
- Phone
- (360) 465-2635
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 35D03 | WA | Primary |
Addresses
Primary practice location
8 Hull Creek Rd
Grays River, WA 98621-9717
Mailing address
PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7030
Other names 1
- Grays River Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040421000698 | WA | Part B Supplier - Ambulance Service Supplier | 7315933884 | Practice locations: Grays River, WA; Naselle, WA; Rosburg, WA |
National Provider Directory
National Provider DirectoryLocations
8 N Hull Creek Rd
Grays River, WA 98621
Phone (360) 465-2480
4631 State Route 4 W
Rosburg, WA 98643
Phone (360) 465-2480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365465600000",
"number": "1386610798",
"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": "360-394-7030",
"fax_number": "360-394-7097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 HULL CREEK RD",
"city": "GRAYS RIVER",
"state": "WA",
"postal_code": "986219717",
"telephone_number": "360-465-2636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAHKIAKUM COUNTY FIRE PROTECTION DISTRICT NO 3",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-24",
"last_updated": "2013-04-09",
"status": "A",
"authorized_official_last_name": "MAKI",
"authorized_official_first_name": "ROB",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "360-465-2635"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WA",
"license": "35D03",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grays River Ambulance",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Grays River, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.