Organization Active NPI

Clark-Cowlitz Fire Rescue

  • Community/Behavioral Health Agency
  • Ridgefield, WA
National Provider Identifier
1609747195
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CLARK-COWLITZ FIRE RESCUE
Practice address
911 N 65TH Ave
Ridgefield, WA 98642-7725
Phone
(360) 887-4609
Fax
(360) 887-0862
NPI assigned
Sep 16, 2025
Last updated
Sep 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Stephanie Nicole Roest
Title
Behavioral Health Crisis Responder
Phone
(360) 887-1684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

911 N 65TH Ave
Ridgefield, WA 98642-7725

Mailing address

911 N 65TH Ave
Ridgefield, WA 98642-7725
Phone (360) 887-4609

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1609747195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 N 65TH AVE",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986427725",
            "telephone_number": "360-887-4609",
            "fax_number": "360-887-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N 65TH AVE",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986427725",
            "telephone_number": "360-887-4609",
            "fax_number": "360-887-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK-COWLITZ FIRE RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "ROEST",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH CRISIS RESPONDER",
        "authorized_official_telephone_number": "360-887-1684"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.