Active NPI
King County Fire Protection District 50
- Land Ambulance
- Skykomish, WA
National Provider Identifier
1598731614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 17D50
- Legal business name
- KING COUNTY FIRE PROTECTION DISTRICT 50
- Practice address
- 107 W Old Cascade Hwy
Skykomish, WA 98288 - Phone
- (360) 677-2686
- NPI assigned
- Feb 28, 2006
- 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
- James Knisley
- Title
- Fire Chief
- Phone
- (360) 677-2686
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 17D50 | WA | Primary |
Addresses
Primary practice location
107 W Old Cascade Hwy
Skykomish, WA 98288
Mailing address
PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7030
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9039645 | Medicaid | WA | |
| 36425 | Other | WA | L&I AND CRIME VICTIMS |
| 590008191 | Other | WA | RAILROAD MEDICARE PTAN |
| KI2310 | Other | WA | REGENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120207000069 | WA | Part B Supplier - Ambulance Service Supplier | 5395902183 | Practice locations: Baring, WA; Skykomish, WA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322524800000",
"number": "1598731614",
"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": "107 W OLD CASCADE HWY",
"city": "SKYKOMISH",
"state": "WA",
"postal_code": "98288",
"telephone_number": "360-677-2686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KING COUNTY FIRE PROTECTION DISTRICT 50",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-28",
"last_updated": "2011-11-29",
"status": "A",
"authorized_official_last_name": "KNISLEY",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "360-677-2686"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WA",
"license": "17D50",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9039645",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I AND CRIME VICTIMS",
"identifier": "36425",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "590008191",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "KI2310",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Skykomish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.