Active NPI
Lewis County Fire District 6
- Land Ambulance
- Chehalis, WA
National Provider Identifier
1902087893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 21D06
- Legal business name
- LEWIS COUNTY FIRE DISTRICT 6
- Practice address
- 2123 Jackson Hwy
Chehalis, WA 98532-4409 - Phone
- (360) 748-6019
- NPI assigned
- Nov 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tim Kinder
- Title
- Interim Chief
- Phone
- (360) 748-6019
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 21D06 | WA | Primary |
Addresses
Primary practice location
2123 Jackson Hwy
Chehalis, WA 98532-4409
Mailing address
PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7030
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590015376 | Other | WA | RAILROAD MEDICARE |
| 0228215 | Other | WA | L&I AND CRIME VICTIMS |
| 9053042 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080220000011 | WA | Part B Supplier - Ambulance Service Supplier | 3476637109 | Practice locations: Chehalis, WA |
National Provider Directory
National Provider DirectoryLocations
2123 Jackson Hwy
Chehalis, WA 98532
Phone (360) 748-6019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330992000000",
"number": "1902087893",
"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": "2123 JACKSON HWY",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985324409",
"telephone_number": "360-748-6019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEWIS COUNTY FIRE DISTRICT 6",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-19",
"last_updated": "2012-03-06",
"status": "A",
"authorized_official_last_name": "KINDER",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "INTERIM CHIEF",
"authorized_official_telephone_number": "360-748-6019"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WA",
"license": "21D06",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590015376",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I AND CRIME VICTIMS",
"identifier": "0228215",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9053042",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chehalis, WA
- Lewis County Community Health Services
- Lewis County Community Health Services
- Lewis County Community Health Services
- Lewis County Community Health Services
- Lewis County Eye & Vision, Inc., P.S.
- Lewis County FPD #6
- Lewis County Work Opportunities
- Lawrence Li, DDS
- David Liao, PHARMD
- Matthew Karl Lichter, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.