Organization Active NPI

Thurston County Fire Protection District 16

  • Land Ambulance
  • Centralia, WA
National Provider Identifier
1518108505
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
AMBV.ES.60069277 Issued in WA
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

Updated by the provider on Apr 2, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2004253MedicaidWA
0249265OtherWAWASHINGTON STATE LABOR & INDUSTRIES
0249265OtherWAWASHINGTON STATE CRIME VICTIMS

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.