Renton Regional Fire Authority

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

RENTON REGIONAL FIRE AUTHORITY

Doing business as

Renton Regional Fire Authority

Practice address

18002 108TH Ave SE
Renton, WA 98055-6445

Phone

(425) 276-9500

NPI assigned

Jun 1, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Charles Desmith

Title

Deputy Chief

Phone

(206) 200-1250

Specialties & licenses 2

Addresses

Other names 1

• Renton Regional Fire Authority Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1750905246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18002 108TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556445",
            "telephone_number": "206-200-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18002 108TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556445",
            "telephone_number": "425-276-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENTON REGIONAL FIRE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "DESMITH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DEPUTY CHIEF",
        "authorized_official_telephone_number": "206-200-1250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renton Regional Fire Authority",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renton Regional Fire Authority",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Renton, WA
• Providers in Renton, WA by specialty
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.