Active NPI
Snohomish County Fire District 4
- Land Ambulance
- Snohomish, WA
National Provider Identifier
1952374712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 31D04
- 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, 2025
- 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
- Jason E Leighty
- Title
- Fire Chief
- Phone
- (360) 568-2141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590010492 | Other | WA | RAILROAD MEDICARE |
| 9029224 | Medicaid | WA | |
| SN2698 | Other | WA | REGENCE |
| 005524 | Other | WA | LABOR & INDUSTRIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100303000425 | WA | Part B Supplier - Ambulance Service Supplier | 2567507452 | Practice locations: Snohomish, WA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2207169 | Snohomish County Fire District #4 | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
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
- Skona Health, PLLC
- Shelby Erin Slenkamp, MS, RDN, CD
- Deanna Krystine Smith
- Jordan Smith, DPT
- Snohomish Acupuncture & Massage, LLC
- Snohomish County Fire Protection District No 16 (Lake Roesiger Fire)
- Snohomish Family Chiropractic LLC
- Snohomish Family Dental Care
- Snohomish Midwives LLC
- Snohomish Natural Health Chiropractic, PS (Chonzena Chiropractic)
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.