Organization Active NPI

Shoreline Fire Department Regional Fire Authority

  • Land Ambulance
  • Shoreline, WA
National Provider Identifier
1669359485
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SHORELINE FIRE DEPARTMENT REGIONAL FIRE AUTHORITY
Practice address
17525 Aurora Ave N
Shoreline, WA 98133-4812
Phone
(206) 533-6500
NPI assigned
Aug 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Matthew Cowan
Title
Fire Chief
Phone
(206) 533-6510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

17525 Aurora Ave N
Shoreline, WA 98133-4812

Mailing address

17525 Aurora Ave N
Shoreline, WA 98133-4812
Phone (206) 533-6500

Other names 1

  • Shoreline Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260107004183 WA Part B Supplier - Ambulance Service Supplier 8426534645 Practice locations: Lake Forest Park, WA; Shoreline, WA; Kenmore, WA

National Provider Directory

National Provider Directory

Locations

1410 NE 180th St
Shoreline, WA 98155
Phone (206) 533-6500

145 NE 155th St
Shoreline, WA 98155
Phone (206) 533-6500

NPI Registry JSON

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1669359485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17525 AURORA AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334812",
            "telephone_number": "206-533-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17525 AURORA AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334812",
            "telephone_number": "206-533-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE FIRE DEPARTMENT REGIONAL FIRE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "206-533-6510"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoreline Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.