Organization Active NPI

Central Pierce Fire & Rescue

  • Land Ambulance
  • Tacoma, WA
National Provider Identifier
1750354528
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
27D06 Issued in WA
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050602000182 WA Part B Supplier - Ambulance Service Supplier 1456394378 Practice locations: Puyallup, WA; Tacoma, WA; Spanaway, WA

National Provider Directory

National Provider Directory

Locations

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"
        }
    ]
}

Other providers in Tacoma, WA

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.

Verify at the official NPI Registry.