Organization Active NPI

Walla Walla County Fire District 4

  • Ambulance
  • Walla Walla, WA
National Provider Identifier
1912357344
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
AMBV.ES.00000767 Issued in WA
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161117000117 WA Part B Supplier - Ambulance Service Supplier 3971882861 Practice locations: Walla Walla, WA

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.