Grays Harbor County Fire Protection District One

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

GRAYS HARBOR COUNTY FIRE PROTECTION DISTRICT ONE

Practice address

108 E Main St
Oakville, WA 98568-9856

Phone

(360) 273-6645

NPI assigned

Jun 29, 2021

Organization subpart

No

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

Authorized official

Name

Carlton David Rhoades

Title

Deputy Chief

Phone

(360) 508-5150

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1669042974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6",
            "city": "OAKVILLE",
            "state": "WA",
            "postal_code": "985680006",
            "telephone_number": "360-273-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E MAIN ST",
            "city": "OAKVILLE",
            "state": "WA",
            "postal_code": "985689856",
            "telephone_number": "360-273-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYS HARBOR COUNTY FIRE PROTECTION DISTRICT ONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "RHOADES",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DEPUTY CHIEF",
        "authorized_official_telephone_number": "360-508-5150"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber A Dobbins
• Michelle L. Drengson, MA, LMHC, NCC
• William C. Elton II, DDS
• Lea Finnell Townsend, MA, LMHC
• Brielle Foster
• Trina Marie Hamilton, L.M.P
• Billie M Higheagle, SPEECH-LANG.PATHOLOG
• Gail Ann Hurst, CDP
• Shana Lee Johnny
• Ray A Klatt, LMHC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.