Organization Active NPI

Snohomish County Fire District 4

  • Land Ambulance
  • Snohomish, WA
National Provider Identifier
1952374712
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
31D04 Issued in WA
Legal business name
SNOHOMISH COUNTY FIRE DISTRICT 4
Practice address
1525 Avenue D
Snohomish, WA 98290-1709
Phone
(360) 568-2141
NPI assigned
Feb 10, 2006
Last updated
Feb 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jason E Leighty
Title
Fire Chief
Phone
(360) 568-2141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 31D04 WA Primary

Addresses

Primary practice location

1525 Avenue D
Snohomish, WA 98290-1709

Mailing address

PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7030

Other identifiers 4

IdentifierTypeStateIssuer
590010492OtherWARAILROAD MEDICARE
9029224MedicaidWA
SN2698OtherWAREGENCE
005524OtherWALABOR & INDUSTRIES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100303000425 WA Part B Supplier - Ambulance Service Supplier 2567507452 Practice locations: Snohomish, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2207169Snohomish County Fire District #41525 Avenue D, Snohomish, WA 98290Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

1525 Avenue D
Snohomish, WA 98290
Phone (360) 568-2141

427 Maple Ave
Snohomish, WA 98290
Phone (360) 568-8787

6724 171st Ave SE
Snohomish, WA 98290
Phone (360) 568-1877

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1952374712",
    "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": "1525 AVENUE D",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901709",
            "telephone_number": "360-568-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOHOMISH COUNTY FIRE DISTRICT 4",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "LEIGHTY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "360-568-2141"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "31D04",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590010492",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9029224",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "SN2698",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "005524",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.