Pierce County Fire District 14

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

27D14 Issued in WA

Legal business name

PIERCE COUNTY FIRE DISTRICT 14

Doing business as

Riverside Fire & Rescue

Practice address

4114 56TH Avenue E
Puyallup, WA 98371

Phone

(253) 922-5644

Fax

(253) 252-7941

NPI assigned

Mar 2, 2006

Organization subpart

No

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

Authorized official

Name

Anthony Cooper

Title

Fire Chief

Phone

(253) 922-5644

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Riverside Fire & Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allen Lee Putz

  • Basic Emergency Medical Technician
  • Puyallup, WA
  • NPI 1699125294
  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1457328973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2029",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983354029",
            "telephone_number": "253-922-5644",
            "fax_number": "253-252-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 56TH AVENUE E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98371",
            "telephone_number": "253-922-5644",
            "fax_number": "253-252-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE COUNTY FIRE DISTRICT 14",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "253-922-5644"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "27D14",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0172385",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "4389RI",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9054107",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Fire & Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John David Piatt, MD
• Marina Picinich
• Picket Fene Therapy & Consulting, LLC
• Zane Pickett, LMT
• Cinthia Piedra-Santos
• Dorothy J Pierce
• Timothy B Pierson, MPT
• Tamara Kristin Pietzke
• Krista Elaine Piger, MC61266411
• Agata Agnieszka Pikula, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.