Active NPI
Walla Walla County Fire District 4
- Ambulance
- Walla Walla, WA
National Provider Identifier
1912357344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- AMBV.ES.00000767
- Legal business name
- WALLA WALLA COUNTY FIRE DISTRICT 4
- Doing business as
- Walla Walla County Fire District #4
- Practice address
- 2251 Howard St
Walla Walla, WA 99362-4554 - Phone
- (509) 529-1282
- Fax
- (509) 522-3969
- NPI assigned
- Jun 16, 2016
- Last updated
- Mar 30, 2023
- 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
- Rocky Eastman
- Title
- Fire Chief
- Phone
- (509) 529-1282
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | AMBV.ES.00000767 | WA | Primary |
Addresses
Primary practice location
2251 Howard St
Walla Walla, WA 99362-4554
Mailing address
2251 Howard St
Walla Walla, WA 99362-4554
Phone (509) 529-1282
Other names 1
- Walla Walla 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 |
|---|---|---|---|---|
| O20161117000117 | WA | Part B Supplier - Ambulance Service Supplier | 3971882861 | Practice locations: Walla Walla, WA |
National Provider Directory
National Provider DirectoryLocations
2251 Howard St
Walla Walla, WA 99362
Phone (509) 529-1282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680134400000",
"number": "1912357344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2251 HOWARD ST",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993624554",
"telephone_number": "509-529-1282",
"fax_number": "509-522-3969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2251 HOWARD ST",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993624554",
"telephone_number": "509-529-1282",
"fax_number": "509-522-3969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALLA WALLA COUNTY FIRE DISTRICT 4",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-16",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A",
"authorized_official_last_name": "EASTMAN",
"authorized_official_first_name": "ROCKY",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "509-529-1282"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "WA",
"license": "AMBV.ES.00000767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Walla Walla County Fire District #4",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Walla Walla, WA
- Walla Walla Cardiology Specialist Clinic,P.S.
- Walla Walla Chiropractic
- Walla Walla Chiropractic and Associates PLLC
- Walla Walla Clinic, Inc. (Walla Walla Clinic Ambulatory Surgery Center)
- Walla Walla Community Hospice
- Walla Walla General Hospital (Adventist Health Community Pharmacy)
- Walla Walla General Hospital
- Walla Walla General Hospital
- Walla Walla General Hospital
- Walla Walla General Hospital (Adventist Health Medical Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.