Benton County Fire Protection Dist 4

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

03D04 Issued in WA

Legal business name

BENTON COUNTY FIRE PROTECTION DIST 4

Practice address

2604 Bombing Range Rd
West Richland, WA 99353-7717

Phone

(509) 967-2945

NPI assigned

May 6, 2011

Organization subpart

No

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

Authorized official

Name

Paul Carlyle

Title

Fire Chief

Phone

(509) 967-2945

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": "1304640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1487946588",
    "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": "2604 BOMBING RANGE RD",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993537717",
            "telephone_number": "509-967-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTON COUNTY FIRE PROTECTION DIST 4",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-06",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "CARLYLE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "509-967-2945"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "03D04",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Diann Bair, LMP
• Joseph Tesfaye Baissa
• Wendy M Barcelo
• Dianne Kimberly Barry, REGISTER DIETITIAN
• Stephanie Barton
• Aundria Kay Betts, BS
• James Randall Bird, DDS
• Taylor Blackwell, LMFT
• Jason Boyce, DC
• Aaron James Braginton, DMD

• Land Ambulance in West Richland, WA
• Providers in West Richland, 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 5, 2024; 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.