Pend Oreille Fire 2

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

26D02 Issued in WA

Legal business name

PEND OREILLE FIRE 2

Practice address

390442 Sr 20
Cusick, WA 99119

Phone

(509) 442-2311

Fax

(509) 442-2333

NPI assigned

Jun 30, 2005

Last updated

Jun 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Rumelhart

Title

Administrative Assistant

Phone

(509) 442-2311

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": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1720085269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 435",
            "city": "METALINE FALLS",
            "state": "WA",
            "postal_code": "991530435",
            "telephone_number": "509-442-2311",
            "fax_number": "509-442-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390442 SR 20",
            "city": "CUSICK",
            "state": "WA",
            "postal_code": "99119",
            "telephone_number": "509-442-2311",
            "fax_number": "509-442-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEND OREILLE FIRE 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "RUMELHART",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "509-442-2311"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "26D02",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Cusick, WA
• Providers in Cusick, 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 12, 2012; 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.