Active NPI
West Thurston Regional Fire Protection Service Authority
- Land Ambulance
- Olympia, WA
National Provider Identifier
1588960561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 34D01
- Legal business name
- WEST THURSTON REGIONAL FIRE PROTECTION SERVICE AUTHORITY
- Doing business as
- West Thurston Regional Fire Authority
- Practice address
- 10828 Littlerock Rd SW
Olympia, WA 98512-8525 - Phone
- (360) 352-1614
- NPI assigned
- Feb 8, 2011
- 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
- Rob Smith
- Title
- Fire Chief
- Phone
- (360) 352-1614
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 34D01 | WA | Primary |
Addresses
Primary practice location
10828 Littlerock Rd SW
Olympia, WA 98512-8525
Mailing address
PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 615917100 | Other | WA | OWCP-FECA |
| 0276670 | Other | WA | L&I-CRIME VICTIMS |
Other names 1
- West Thurston Regional Fire Authority
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110519000015 | WA | Part B Supplier - Ambulance Service Supplier | 0840476289 | Practice locations: Olympia, WA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687132800000",
"number": "1588960561",
"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": "10828 LITTLEROCK RD SW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985128525",
"telephone_number": "360-352-1614"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST THURSTON REGIONAL FIRE PROTECTION SERVICE AUTHORITY",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-08",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "ROB",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "360-352-1614"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WA",
"license": "34D01",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP-FECA",
"identifier": "615917100",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I-CRIME VICTIMS",
"identifier": "0276670",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "West Thurston Regional Fire Authority",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "West Thurston Regional Fire Authority",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.