Organization Active NPI

City of Du Pont

Doing business as Dupont Fire Department

  • Land Ambulance
  • Dupont, WA
National Provider Identifier
1750577193
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
27M04 Issued in WA
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1055085MedicaidWA
617244800OtherOWCP-FECA & DEEOIC

Other names 1

  • Dupont Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080411000298 WA Part B Supplier - Ambulance Service Supplier 5294812426 Practice locations: Dupont, WA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.