Organization Active NPI

West Thurston Regional Fire Protection Service Authority

  • Land Ambulance
  • Olympia, WA
National Provider Identifier
1588960561
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
34D01 Issued in WA
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

Updated by the provider on Jun 19, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
615917100OtherWAOWCP-FECA
0276670OtherWAL&I-CRIME VICTIMS

Other names 1

  • West Thurston Regional Fire Authority Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110519000015 WA Part B Supplier - Ambulance Service Supplier 0840476289 Practice locations: Olympia, WA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.