Active NPI
Lewis County Fire District No 9
- Land Ambulance
- Mineral, WA
National Provider Identifier
1518284694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 21D09
- Legal business name
- LEWIS COUNTY FIRE DISTRICT NO 9
- Practice address
- 104 Front Street W
Mineral, WA 98355 - Phone
- (360) 492-5942
- NPI assigned
- Apr 28, 2010
- 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
- Bruce Richie
- Title
- Commissioner
- Phone
- (360) 269-1977
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 21D09 | WA | Primary |
Addresses
Primary practice location
104 Front Street W
Mineral, WA 98355
Mailing address
PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0263332 | Other | WA | L&I AND CRIME VICTIMS |
| 2006848 | Medicaid | WA |
Other names 1
- Mineral Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100615000726 | WA | Part B Supplier - Ambulance Service Supplier | 4587794706 | Practice locations: Mineral, WA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707264000000",
"number": "1518284694",
"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": "360-394-7030",
"fax_number": "360-394-7097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 FRONT STREET W",
"city": "MINERAL",
"state": "WA",
"postal_code": "98355",
"telephone_number": "360-492-5942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEWIS COUNTY FIRE DISTRICT NO 9",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-28",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A",
"authorized_official_last_name": "RICHIE",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "COMMISSIONER",
"authorized_official_telephone_number": "360-269-1977"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WA",
"license": "21D09",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I AND CRIME VICTIMS",
"identifier": "0263332",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2006848",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mineral Fire Department",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Mineral, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.