South Snohomish County Fire & Rescue Regional Fire Authority

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SOUTH SNOHOMISH COUNTY FIRE & RESCUE REGIONAL FIRE AUTHORITY

Practice address

12310 Meridian Ave S
Everett, WA 98208-5764

Phone

(425) 551-1200

NPI assigned

Sep 14, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen Junglov

Title

Finance Director

Phone

(425) 551-1244

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": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505347200000",
    "number": "1740709393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12425 MERIDIAN AVE S",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982085728",
            "telephone_number": "425-551-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12310 MERIDIAN AVE S",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982085764",
            "telephone_number": "425-551-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SNOHOMISH COUNTY FIRE & RESCUE REGIONAL FIRE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-14",
        "last_updated": "2017-09-14",
        "status": "A",
        "authorized_official_last_name": "JUNGLOV",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "425-551-1244",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Soundflow Myofunctional Wellness LLC
• South Pointe Operations LLC
• Germone Southall, PMHNP-BC
• Rebecca S Souza, PA-C
• Gina Spahi
• Susan Sparks, MA CCC SLP
• Brittany Spatacean, LMHC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; 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.