Organization Active NPI

Spokane County Fire District No-4

  • Land Ambulance
  • Deer Park, WA
National Provider Identifier
1902304108
Registry record updated Nov 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Nov 5, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231201000937 WA Part B Supplier - Ambulance Service Supplier 0547618530 Practice locations: Chattaroy, WA; Deer Park, WA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.