Douglas Okanogan County Fire District 15

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

24D15 Issued in WA

Legal business name

DOUGLAS OKANOGAN COUNTY FIRE DISTRICT 15

Practice address

412 W. Indian Ave
Brewster, WA 98812-0490

Phone

(509) 689-4041

Fax

(509) 689-0901

NPI assigned

Oct 17, 2006

Last updated

Mar 17, 2008By 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

Mrs. Tonya Vallance

Title

Director of Services

Phone

(509) 689-4041

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1437230646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W. INDIAN AVE",
            "address_2": "PO BOX 490",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "988120490",
            "telephone_number": "509-689-4041",
            "fax_number": "509-689-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W. INDIAN AVE",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "988120490",
            "telephone_number": "509-689-4041",
            "fax_number": "509-689-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS OKANOGAN COUNTY FIRE DISTRICT 15",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "VALLANCE",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "DIRECTOR OF SERVICES",
        "authorized_official_telephone_number": "509-689-4041",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "24D15",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9006040",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I PROVIDER NUMBER",
            "identifier": "0094585",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Brooke Demarco, OD
• Belinda Clare Denchfield, CMSRN
• Victoria Malloch Desalvo, ARNP
• Gregory Alan Dicamillo, M.D.
• Gwendolyn Dick, L.M.P.
• Mary Downey, PA-C
• Dr Duane L Rana P S
• Elias Driessen, DPT
• Anne Dubosky, DO
• DW Family Eye Care PLLC (Valley View)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.