NPIMap

Organization Active NPI

Thurston County Fire Protection District 17

  • Land Ambulance
  • Yelm, WA
National Provider Identifier
1861939977
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
34D17 Issued in WA
Legal business name
THURSTON COUNTY FIRE PROTECTION DISTRICT 17
Practice address
16306 Bald Hill Rd SE
Yelm, WA 98597-7985
Phone
(360) 894-2517
NPI assigned
Jan 26, 2017
Last updated
Jan 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Authorized official

Name
Mark A Gregory
Title
Fire Chief
Phone
(360) 894-2517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 34D17 WA Primary

Addresses

Primary practice location

16306 Bald Hill Rd SE
Yelm, WA 98597-7985

Mailing address

PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7010

Other names 1

  • Bald Hills Fire Department Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170314001157 WA Part B Supplier - Ambulance Service Supplier 0749565786 Practice locations: Yelm, WA

National Provider Directory

National Provider Directory

Locations

16306 Bald Hill Rd SE
Yelm, WA 98597
Phone (360) 894-2517

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1861939977",
    "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": "360-394-7010",
            "fax_number": "360-394-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16306 BALD HILL RD SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985977985",
            "telephone_number": "360-894-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THURSTON COUNTY FIRE PROTECTION DISTRICT 17",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "360-894-2517"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "34D17",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bald Hills Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yelm, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.