Valley Regional Fire Authority

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

17X27 Issued in WA

Legal business name

VALLEY REGIONAL FIRE AUTHORITY

Practice address

1101 D Street
Auburn, WA 98002-4016

Phone

(253) 288-5800

Fax

(253) 288-5993

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Mark Horaski

Title

Finance and Administrative Director

Phone

(253) 288-5803

Specialties & licenses 1

Addresses

Other identifiers 4

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1528120656",
    "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": "1101 D STREET",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024016",
            "telephone_number": "253-288-5800",
            "fax_number": "253-288-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY REGIONAL FIRE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "HORASKI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "FINANCE AND ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "253-288-5803"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "17X27",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "615068800",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9059460",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00838386",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0217499",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muhammad Usama, MD
• Ryan Uyehara
• Contessa Valdez, RN
• Olga Valieva, D.O.
• Vanessa N/a Vallejos, PMHNP
• Valley Women'S Health Care, Inc., PC
• Rufus Van Dyke IV, MD
• Carol Vanconett
• Pamela Rose Vanderdoes, M.DIV, MS, LMHC
• Lauren Joelle Vanderpuy

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.