Active NPI
Spokane County Fire District No-4
- Land Ambulance
- Deer Park, WA
National Provider Identifier
1902304108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- SPOKANE COUNTY FIRE DISTRICT NO-4
- Practice address
- 315 E Crawford St
Deer Park, WA 99006-5338 - Phone
- (509) 467-4500
- Fax
- (509) 467-6032
- NPI assigned
- Jan 23, 2018
- 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
- Mike Nokes
- Title
- Assistant Chief
- Phone
- (509) 467-4500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
315 E Crawford St
Deer Park, WA 99006-5338
Mailing address
315 E Crawford St
Deer Park, WA 99006-5338
Phone (509) 467-4500
Other names 1
- Spokane County Fire District 4
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231201000937 | WA | Part B Supplier - Ambulance Service Supplier | 0547618530 | Practice locations: Chattaroy, WA; Deer Park, WA |
National Provider Directory
National Provider DirectoryLocations
3818 E Deer Park Milan Rd
Chattaroy, WA 99003
Phone (509) 292-2229
3219 E Chattaroy Rd
Chattaroy, WA 99003
Phone (509) 238-3228
315 E Crawford St
Deer Park, WA 99006
Phone (509) 467-4500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699142400000",
"number": "1902304108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 E CRAWFORD ST",
"city": "DEER PARK",
"state": "WA",
"postal_code": "990065338",
"telephone_number": "509-467-4500",
"fax_number": "509-467-6032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E CRAWFORD ST",
"city": "DEER PARK",
"state": "WA",
"postal_code": "990065338",
"telephone_number": "509-467-4500",
"fax_number": "509-467-6032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPOKANE COUNTY FIRE DISTRICT NO-4",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-23",
"last_updated": "2023-11-05",
"certification_date": "2023-11-05",
"status": "A",
"authorized_official_last_name": "NOKES",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "ASSISTANT CHIEF",
"authorized_official_telephone_number": "509-467-4500"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Spokane County Fire District 4",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Deer Park, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2023; 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.