Active NPI
City of Du Pont
Doing business as Dupont Fire Department
- Land Ambulance
- Dupont, WA
National Provider Identifier
1750577193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 27M04
- Legal business name
- CITY OF DU PONT
- Doing business as
- Dupont Fire Department
- Practice address
- 1780 Civic Dr
Dupont, WA 98327-9604 - Phone
- (253) 964-8121
- NPI assigned
- Sep 19, 2007
- Last updated
- Jun 4, 2024
- 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
- Carma E Oaksmith
- Title
- Finance Director
- Phone
- (253) 912-3300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 27M04 | WA | Primary |
Addresses
Primary practice location
1780 Civic Dr
Dupont, WA 98327-9604
Mailing address
PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1055085 | Medicaid | WA | |
| 617244800 | Other | OWCP-FECA & DEEOIC |
Other names 1
- Dupont Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080411000298 | WA | Part B Supplier - Ambulance Service Supplier | 5294812426 | Practice locations: Dupont, WA |
National Provider Directory
National Provider DirectoryLocations
1700 Civic Dr
DuPont, WA 98327
1780 Civic Dr
DuPont, WA 98327
Phone (253) 964-8121
1780 Civic Dr
Ste 102
DuPont, WA 98327
Phone (253) 964-8121
303 Barksdale Ave
DuPont, WA 98327
Phone (253) 964-3730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717459200000",
"number": "1750577193",
"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": "1780 CIVIC DR",
"city": "DUPONT",
"state": "WA",
"postal_code": "983279604",
"telephone_number": "253-964-8121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF DU PONT",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-19",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A",
"authorized_official_last_name": "OAKSMITH",
"authorized_official_first_name": "CARMA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "FINANCE DIRECTOR",
"authorized_official_telephone_number": "253-912-3300"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WA",
"license": "27M04",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1055085",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP-FECA & DEEOIC",
"identifier": "617244800",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dupont Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dupont, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.