Active NPI
Thurston County Fire Protection District 16
- Land Ambulance
- Centralia, WA
National Provider Identifier
1518108505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- AMBV.ES.60069277
- Legal business name
- THURSTON COUNTY FIRE PROTECTION DISTRICT 16
- Practice address
- 21249 Bucoda Hwy SE
Centralia, WA 98531-9523 - Phone
- (360) 278-3334
- NPI assigned
- Mar 20, 2009
- 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
- Andrew Schaffran
- Title
- Fire Chief
- Phone
- (360) 507-6343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | AMBV.ES.60069277 | WA | Primary |
Addresses
Primary practice location
21249 Bucoda Hwy SE
Centralia, WA 98531-9523
Mailing address
PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7020
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2004253 | Medicaid | WA | |
| 0249265 | Other | WA | WASHINGTON STATE LABOR & INDUSTRIES |
| 0249265 | Other | WA | WASHINGTON STATE CRIME VICTIMS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364860800000",
"number": "1518108505",
"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": "360-394-7097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21249 BUCODA HWY SE",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985319523",
"telephone_number": "360-278-3334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THURSTON COUNTY FIRE PROTECTION DISTRICT 16",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-20",
"last_updated": "2013-04-02",
"status": "A",
"authorized_official_last_name": "SCHAFFRAN",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "360-507-6343"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WA",
"license": "AMBV.ES.60069277",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2004253",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE LABOR & INDUSTRIES",
"identifier": "0249265",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE CRIME VICTIMS",
"identifier": "0249265",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.