Central Pierce Fire & Rescue
Organization Active NPI Land Ambulance · Tacoma, WA
NPI 1750354528 · NPPES record last updated May 12, 2023
Key facts
- NPI
- 1750354528
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 27D06 (WA)
- Legal business name
- CENTRAL PIERCE FIRE & RESCUE
- Practice address
- 17520 22ND Ave E
Tacoma, WA 98445-4444 - Phone
- (253) 538-6400
- NPI assigned
- Feb 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Tanya Robacker
- Title
- Finance Director
- Phone
- (253) 538-6400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| 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
Locations
9813 128th St E
Puyallup, WA 98373
Phone (253) 538-6566
311 W Pioneer
Puyallup, WA 98371
Phone (253) 538-6573
902 7th St NW
Puyallup, WA 98371
Phone (253) 435-3606
110 9th Ave SW
Puyallup, WA 98371
Phone (253) 841-5222
17210 110th Ave E
Puyallup, WA 98374
Phone (253) 538-6569
8005 Canyon Rd E
Puyallup, WA 98371
Phone (253) 538-6567
3509 27th St SE
Puyallup, WA 98374
Phone (253) 538-6572
3421 224th St E
Spanaway, WA 98387
Phone (253) 538-6400
9512 17th Ave E
#6
Tacoma, WA 98445
Phone (253) 538-6400
301 146th St S
Tacoma, WA 98444
Phone (253) 538-6564
100 114th St S
Tacoma, WA 98444
Phone (253) 538-6450
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 27D06 | WA | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192061200 | Other | WA | FEDERAL OWCP |
| 232480 | Medicaid | OR | |
| 8917130 | Other | WA | CRIME VICTIMS |
| XMTE06107 | Medicaid | CA | |
| 0050285 | Other | WA | LABOR & INDUSTRIES |
| 9038183 | Medicaid | WA | |
| PI2450 | Other | WA | REGENCE |
Other names
- Central Pierce Fire & Rescue
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.