Active NPI
Central Pierce Fire & Rescue
- Land Ambulance
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 27D06
- Legal business name
- CENTRAL PIERCE FIRE & RESCUE
- Doing business as
- Central Pierce Fire & Rescue
- Practice address
- 17520 22ND Ave E
Tacoma, WA 98445-4444 - Phone
- (253) 538-6400
- NPI assigned
- Feb 10, 2006
- Last updated
- May 12, 2023
- 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
- Tanya Robacker
- Title
- Finance Director
- Phone
- (253) 538-6400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 27D06 | WA | Primary |
Addresses
Primary practice location
17520 22ND Ave E
Tacoma, WA 98445-4444
Mailing address
PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7030
Other names 1
- Central Pierce Fire & Rescue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050602000182 | WA | Part B Supplier - Ambulance Service Supplier | 1456394378 | Practice locations: Puyallup, WA; Tacoma, WA; Spanaway, WA |
National Provider Directory
National Provider DirectoryLocations
110 9th Ave SW
Puyallup, WA 98371
Phone (253) 841-5222
17210 110th Ave E
Puyallup, WA 98374
Phone (253) 538-6569
311 W Pioneer
Puyallup, WA 98371
Phone (253) 538-6573
3509 27th St SE
Puyallup, WA 98374
Phone (253) 538-6572
8005 Canyon Rd E
Puyallup, WA 98371
Phone (253) 538-6567
9813 128th St E
Puyallup, WA 98373
Phone (253) 538-6566
3421 224th St E
Spanaway, WA 98387
Phone (253) 538-6400
100 114th St S
Tacoma, WA 98444
Phone (253) 538-6450
301 146th St S
Tacoma, WA 98444
Phone (253) 538-6564
9512 17th Ave E
#6
Tacoma, WA 98445
Phone (253) 538-6400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683849600000",
"number": "1750354528",
"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": "17520 22ND AVE E",
"city": "TACOMA",
"state": "WA",
"postal_code": "984454444",
"telephone_number": "253-538-6400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL PIERCE FIRE & RESCUE",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-10",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A",
"authorized_official_last_name": "ROBACKER",
"authorized_official_first_name": "TANYA",
"authorized_official_title_or_position": "FINANCE DIRECTOR",
"authorized_official_telephone_number": "253-538-6400"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WA",
"license": "27D06",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Central Pierce Fire & Rescue",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Central Pierce Fire & Rescue",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Vladimir Ivanovich Cernov, MASSAGE PRACTITIONER
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.