Mason County FPD #2

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

23D02 Issued in WA

Legal business name

MASON COUNTY FPD #2

Practice address

460 NE Old Belfair Hwy
Belfair, WA 98528-9637

Phone

(360) 275-6711

NPI assigned

Feb 28, 2006

Last updated

Apr 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beau Bakken

Title

Fire Chief

Phone

(360) 275-6711

Specialties & licenses 1

Addresses

Other identifiers 4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1598731580",
    "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": "360-613-1627",
            "fax_number": "360-698-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 NE OLD BELFAIR HWY",
            "city": "BELFAIR",
            "state": "WA",
            "postal_code": "985289637",
            "telephone_number": "360-275-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON COUNTY FPD #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "BAKKEN",
        "authorized_official_first_name": "BEAU",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "360-275-6711"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "23D02",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0076518",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8913847",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "MA5224",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9027681",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Marie Kolito, LMT
• Donald Richard Lepere, DDS
• Ella Lorng, RPH
• Christine Marie Marshall, D.D.S.
• Kristal J Martin, ARNP
• Barbara J Matteri, LMP
• MC Kinney Whitemarsh PLLC (the visual connection)
• Kathleen M MC Minn
• Valerie Margaret McLeod, PT
• Shannon Lynn Miller

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.