GRAYS HARBOR FIRE DISTRICT 5 (NPI# 1316911563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316911563 |
Entity Type | Organization |
Organization Name | GRAYS HARBOR FIRE DISTRICT 5 |
Practice Address |
428 Stamper Road Elma WA 98541 |
Mailing Address |
Po Box 2029 Gig Harbor WA 98335-4029 |
Practice Telephone | 3604826266 |
Mailing Telephone | 2538531330 |
Mailing Fax Number | 2538531338 |
Enumeration Date | 2006-02-15 |
Last Update Date | 2013-04-17 |
Authorized Official Name | BRAD PECKHAM (ASSISTANT FIRE CHIEF) |
Authorized Official Telephone | 3604824903 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
14D05 | WA | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 9056813 | 05 | |
WA | REGENCE | 9603GR | 01 |
WA | CRIME VICTIMS | 8903696 | 01 |
WA | LABOR & INDUSTRIES | 0143992 | 01 |
Street Address |
428 STAMPER ROAD |
City | ELMA |
State | WA |
Zip Code | 98541 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962021444 | Rabab Cheema | Student in an Organized Health Care Education/Training Program | Summit Pacific Family Medicine, 600 E. Main Street, Elma, WA 98541 | 2020-04-14 |
1164087896 | Jamie Christina Talley | Massage Therapist | 201 S. 3rd Street, Elma, WA 98541 | 2019-05-08 |
1306359377 | Brandy L Hahn | Counselor | 308 E. Young St, Elma, WA 98541 | 2017-11-13 |
1205349412 | Charli Loretta Jankord | Massage Therapist | 201 South 3rd Street, Elma, WA 98541 | 2017-11-09 |
1588194013 | Janel Lynn Lewis | Counselor | 575 E. Main Suite C, Elma, WA 98541 | 2017-06-18 |
1962931139 | Cole Robert Johnson | Counselor | 575 E Main Street, Elma, WA 98541 | 2017-06-09 |
1922323880 | Kimberly Ann Peters | Counselor | 308 E. Young St., Elma, WA 98541 | 2010-04-05 |
1467776112 | Amy L Lystad | Counselor | 114 S. 5th St., Elma, WA 98541 | 2010-03-24 |
1649593336 | Maja C Ballew | Massage Therapist | 434 West Main Street, Elma, WA 98541 | 2010-03-09 |
1659603066 | Cristiana Maria Franklin | Counselor | 308 E. Young, Elma, WA 98541 | 2010-02-10 |
Find all providers in zip 98541 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.