Pacific County Fire Protection District 4

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PACIFIC COUNTY FIRE PROTECTION DISTRICT 4

Practice address

5 County Shed Rd
Naselle, WA 98638-8557

Phone

(360) 484-3498

Fax

(360) 484-3911

NPI assigned

Nov 10, 2021

Organization subpart

No

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

Authorized official

Name

Angila L Gaines

Title

Secretary

Phone

(360) 214-2402

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1639835937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54",
            "city": "NASELLE",
            "state": "WA",
            "postal_code": "986380054",
            "telephone_number": "360-484-3498",
            "fax_number": "360-484-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COUNTY SHED RD",
            "city": "NASELLE",
            "state": "WA",
            "postal_code": "986388557",
            "telephone_number": "360-484-3498",
            "fax_number": "360-484-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COUNTY FIRE PROTECTION DISTRICT 4",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "ANGILA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "360-214-2402"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianna Bruneau, M.S.CCC-SLP
• Clarissa Z Colson
• Gwendolyn J Meyer, ARNP
• Naselle Volunteer Fire Department, Inc.
• Naselle-Grays River Valley School District
• Bryon Parrino, LMP
• Public Hospital District 3 of Pacific County

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.