Organization Active NPI

Snohomish County Fire Protection District 18

  • Land Ambulance
  • Stanwood, WA
National Provider Identifier
1740360866
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
31D18 Issued in WA
Legal business name
SNOHOMISH COUNTY FIRE PROTECTION DISTRICT 18
Practice address
19727 Marine Dr
Stanwood, WA 98292-7879
Phone
(360) 652-1246
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Authorized official

Name
Dale Fulfs
Title
Fire Chief
Phone
(360) 652-1246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 31D18 WA Primary

Addresses

Primary practice location

19727 Marine Dr
Stanwood, WA 98292-7879

Mailing address

PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 613-1627

Other identifiers 4

IdentifierTypeStateIssuer
0173200OtherWALABOR & INDUSTRIES
8932753OtherWACRIME VICTIMS
9054370MedicaidWA
P00030572OtherWARAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1740360866",
    "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": "360-613-1627",
            "fax_number": "360-698-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19727 MARINE DR",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982927879",
            "telephone_number": "360-652-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOHOMISH COUNTY FIRE PROTECTION DISTRICT 18",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "FULFS",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "360-652-1246"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "31D18",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0173200",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8932753",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9054370",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00030572",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.