North Kitsap Fire & Rescue

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

18D10 Issued in WA

Legal business name

NORTH KITSAP FIRE & RESCUE

Practice address

26642 Miller Bay Rd NE
Kingston, WA 98346-9404

Phone

(360) 297-3619

Fax

(360) 297-2653

NPI assigned

Mar 28, 2007

Last updated

Mar 5, 2024By 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

Rick Lagrandeur

Title

Fire Chief

Phone

(360) 297-3619

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1730208265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3510",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983833510",
            "telephone_number": "360-394-7030",
            "fax_number": "360-394-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26642 MILLER BAY RD NE",
            "city": "KINGSTON",
            "state": "WA",
            "postal_code": "983469404",
            "telephone_number": "360-297-3619",
            "fax_number": "360-297-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH KITSAP FIRE & RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-03-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "LAGRANDEUR",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "360-297-3619"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "18D10",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017621",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.