Organization Active NPI

Pierce County Fire District 23

  • Land Ambulance
  • Ashford, WA
National Provider Identifier
1841473691
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
27D23 Issued in WA
Legal business name
PIERCE COUNTY FIRE DISTRICT 23
Practice address
29815 State Route 706 E
Ashford, WA 98304
Phone
(360) 569-2752
NPI assigned
Dec 14, 2007
Last updated
May 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Authorized official

Name
Garry Olson
Title
Fire Chief
Phone
(360) 569-2752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 27D23 WA Primary

Addresses

Primary practice location

29815 State Route 706 E
Ashford, WA 98304

Mailing address

PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7030

Other identifiers 1

IdentifierTypeStateIssuer
0228216OtherWAL&I AND CRIME VICTIMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080318000152 WA Part B Supplier - Ambulance Service Supplier 7214012103 Practice locations: Ashford, WA; Elbe, WA; Eatonville, WA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1841473691",
    "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": "29815 STATE ROUTE 706 E",
            "city": "ASHFORD",
            "state": "WA",
            "postal_code": "98304",
            "telephone_number": "360-569-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE COUNTY FIRE DISTRICT 23",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "GARRY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "360-569-2752"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "27D23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0228216",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashford, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.