NPIMap

Organization Active NPI

Snohomish County Fire Protection District 15

  • Land Ambulance
  • Tulalip, WA
National Provider Identifier
1629486642
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
31D15 Issued in WA
Legal business name
SNOHOMISH COUNTY FIRE PROTECTION DISTRICT 15
Practice address
7812 Water Works Rd
Tulalip, WA 98271-9631
Phone
(360) 659-2416
NPI assigned
Jul 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Teri Lynn Dodge
Title
Fire Chief
Phone
(360) 659-2416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 31D15 WA Primary

Addresses

Primary practice location

7812 Water Works Rd
Tulalip, WA 98271-9631

Mailing address

PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7020

Other names 1

  • Sno Co Fire Dist 15 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141009002179 WA Part B Supplier - Ambulance Service Supplier 9830319078 Practice locations: Tulalip, WA

National Provider Directory

National Provider Directory

Locations

7812 Water Works Rd
Tulalip, WA 98271
Phone (360) 659-2416

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1629486642",
    "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": "360-394-7020",
            "fax_number": "360-394-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7812 WATER WORKS RD",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982719631",
            "telephone_number": "360-659-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOHOMISH COUNTY FIRE PROTECTION DISTRICT 15",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "DODGE",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "360-659-2416"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "31D15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sno Co Fire Dist 15",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulalip, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.