Active NPI
Asotin County Fire Protection District 1
- Ambulance
- Clarkston, WA
National Provider Identifier
1720698483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- ASOTIN COUNTY FIRE PROTECTION DISTRICT 1
- Practice address
- 2314 Appleside Blvd
Clarkston, WA 99403-1344 - Phone
- (509) 758-5181
- NPI assigned
- Aug 6, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jon Noel Hardin
- Title
- Chief
- Phone
- (509) 758-5181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
2314 Appleside Blvd
Clarkston, WA 99403-1344
Mailing address
2314 Appleside Blvd
Clarkston, WA 99403-1344
Phone (509) 758-5181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201218002308 | WA | Part B Supplier - Ambulance Service Supplier | 7113339979 | Practice locations: Clarkston, WA |
National Provider Directory
National Provider DirectoryLocations
2314 Appleside Blvd
Clarkston, WA 99403
Phone (208) 743-3556
2377 Appleside Blvd
Clarkston, WA 99403
Phone (208) 743-3556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609891200000",
"number": "1720698483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2314 APPLESIDE BLVD",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994031344",
"telephone_number": "509-758-5181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2314 APPLESIDE BLVD",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994031344",
"telephone_number": "509-758-5181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASOTIN COUNTY FIRE PROTECTION DISTRICT 1",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-06",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A",
"authorized_official_last_name": "HARDIN",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "NOEL",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "509-758-5181"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarkston, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.