Clallam County Fire Protection District No 2

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

05D02 Issued in WA

Legal business name

CLALLAM COUNTY FIRE PROTECTION DISTRICT NO 2

Practice address

1212 E 1St St
Port Angeles, WA 98362-4302

Phone

(360) 457-2550

NPI assigned

Feb 28, 2006

Organization subpart

No

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

Authorized official

Name

Jake Patterson

Title

Fire Chief

Phone

(360) 457-2550

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1871569871",
    "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": "1212 E 1ST ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983624302",
            "telephone_number": "360-457-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLALLAM COUNTY FIRE PROTECTION DISTRICT NO 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "360-457-2550"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "05D02",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I--CRIME VICTIMS",
            "identifier": "0193774",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027507",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kari Ann Cimcotto
• City of Port Angeles
• Clallam Anesthesiologist Associated PLLC
• Clallam County Clinical Services
• Clallam County Fire Prot Dist 4
• Clallam County Health & Human Services
• Clallam County Jail Medical
• Clallam County Juvenile and Family Services
• Clallam County Public Hospital District 2
• Clallam County Public Hospital District 2

• Land Ambulance in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.