North County Regional Fire Authority

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

NORTH COUNTY REGIONAL FIRE AUTHORITY

Practice address

19727 Marine Dr
Stanwood, WA 98292-7879

Phone

(360) 652-1246

NPI assigned

Jan 7, 2008

Organization subpart

No

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

Authorized official

Name

Dale Fulfs

Title

Fire Chief

Phone

(360) 652-1246

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1578748729",
    "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": "19727 MARINE DR",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982927879",
            "telephone_number": "360-652-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTY REGIONAL FIRE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "FULFS",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "360-652-1246"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9061532",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0229601",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P0041739",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel J Newman, RS2
• Emily Amaryllis Niles, L.M.P.
• Angelyne Renee Nilson
• Timothy Joseph Nixon, OD
• North Cascade Eye Associates PS
• Leah Marie Northrup
• Northsound Physical Therapy, Inc.
• Northwest Health & Healing PLLC
• NSPT, Inc.
• NW Audiology, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.