Organization Active NPI

Cowlitz County Fire District 1

  • Land Ambulance
  • Woodland, WA
National Provider Identifier
1861660714
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
08D01 Issued in WA
Legal business name
COWLITZ COUNTY FIRE DISTRICT 1
Practice address
160 Pinkerton Dr
Woodland, WA 98674-9504
Phone
(360) 225-7462
Fax
(360) 225-1276
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Mr. Eric M Dehning
Title
Fire Chief
Phone
(360) 225-7462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 08D01 WA Primary

Addresses

Primary practice location

160 Pinkerton Dr
Woodland, WA 98674-9504

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
9061581MedicaidWA
0230488OtherWAL&I-CRIME VICTIMS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1861660714",
    "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": "160 PINKERTON DR",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986749504",
            "telephone_number": "360-225-7462",
            "fax_number": "360-225-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COWLITZ COUNTY FIRE DISTRICT 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "DEHNING",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "360-225-7462",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "08D01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9061581",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-CRIME VICTIMS",
            "identifier": "0230488",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.