MASON COUNTY MEDIC ONE, LTD (NPI# 1538195219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538195219 |
| Entity Type | Organization |
| Organization Name | MASON COUNTY MEDIC ONE, LTD |
| Practice Address |
2019 Jefferson St Shelton WA 98584-2042 |
| Mailing Address |
P O Box 5396 Lacey WA 98509-5396 |
| Practice Telephone | 3604381515 |
| Practice Fax Number | 3604930191 |
| Mailing Telephone | 3604381515 |
| Mailing Fax Number | 3604930191 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2010-02-26 |
| Authorized Official Name | STEPHANIE SCOTT (MGR A/R) |
| Authorized Official Telephone | 3603595666 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
23X01 | WA | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9023094 | 05 |
| Street Address |
2019 JEFFERSON ST |
| City | SHELTON |
| State | WA |
| Zip Code | 98584-2042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285128884 | Jeffrey James Poland | Emergency Medical Technician, Paramedic | 2019 Jefferson St, Shelton, WA 98584-2042 | 2018-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627478 | Ashley Maria Elena Armstrong | Counselor | 307 W Cota St Shelton, Shelton, WA 98584 | 2020-07-30 |
| 1962011015 | Perry Philemon Little IIi | Dentist | 503 N 4th St, Shelton, WA 98584 | 2020-07-24 |
| 1588215271 | Rebecca Lynn Adams | Counselor | 601 West Franklin St, Shelton, WA 98584 | 2019-09-24 |
| 1366939670 | Robbie Chandler | Social Worker | 807 West Pine, Shelton, WA 98584 | 2018-04-23 |
| 1831603075 | Fir Lane Health-shelton,llc | Skilled Nursing Facility | 2430 North 13th St, Shelton, WA 98584 | 2017-11-27 |
| 1306361738 | Christine Lee Woods | Counselor | 58150 E. 66th Road, Miami, OK 98584 | 2017-08-07 |
| 1174063051 | Claudette V. Selkridge | Counselor | 1620 N. Olympic Hwy, Shelton, WA 98584 | 2017-02-27 |
| 1003278755 | Edward Charles Herman | Social Worker | 50 Se Bluff Loop Rd., Shelton, WA 98584 | 2016-03-22 |
| 1023497310 | Darren Cuevas | Family Medicine | 939 Mountain View Dr Ste 100, Shelton, WA 98584 | 2015-05-20 |
| 1639572977 | Thomas Vincent Phung Duffy | Dentist | 717 W. Railroad Ave., Shelton, WA 98584 | 2014-10-01 |
| Find all providers in zip 98584 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396165544 | Mason Co Fpd 11 | Ambulance | 130 E Island Lake Rd, Shelton, WA 98584-9189 | 2014-04-25 |
| 1336108802 | Village of Shelton | Ambulance | 218 C St, Shelton, NE 68876-9611 | 2006-03-22 |
| 1154308534 | Fire Protection Dist 5 Mason County | Ambulance | 122 W Franklin St, Shelton, WA 98584-3511 | 2005-12-28 |
| 1548247927 | Mason County Fire Protection Dist 4 | Ambulance | 2970 Se Arcadia Rd, Shelton, WA 98584-9324 | 2005-12-28 |
| 1619965167 | Echo Hose Hook and Ladder Ambulance Corps., Inc. | Ambulance | 100 Meadow St, Shelton, CT 06484-2265 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469970 | Thurston County Fire Protection Dist 6 | Ambulance | 8047 Normandy St. Se, Olympia, WA 98501 | 2020-02-20 |
| 1235694613 | Spencer Family Investments | Ambulance | 9514 E Montgomery Ave, Spokane Valley, WA 99206-4140 | 2019-02-09 |
| 1972073963 | Riverside Fire Authority | Ambulance | 1818 Harrison Ave, Centralia, WA 98531-1905 | 2018-12-03 |
| 1558836940 | City of Burlington | Ambulance | 350 E Sharon Ave, Burlington, WA 98233-2232 | 2018-10-11 |
| 1053800417 | Kalispel Indian Community of The Kalispel Reservation Washington | Ambulance | 1981 N Leclerc, Usk, WA 99180 | 2018-05-01 |
| 1205334810 | Stevens County Fire Protection District #1 | Ambulance | 4532 Railroad Ave, Clayton, WA 99110-9790 | 2018-01-29 |
| 1952811820 | Pend Oreille County Fire Protection District 4 | Ambulance | 11 Dalkena St, Newport, WA 99156-9768 | 2017-10-05 |
| 1215476379 | Pend Oreille Fire 3 | Ambulance | 325272 Highway 2, Newport, WA 99156-9354 | 2017-02-21 |
| 1023556289 | Snohomish County Fire Protection District No 21 | Ambulance | 12131 228th St Ne, Arlington, WA 98223-6933 | 2017-02-08 |
| 1861939977 | Thurston County Fire Protection District 17 | Ambulance | 16306 Bald Hill Rd Se, Yelm, WA 98597-7985 | 2017-01-26 |
| Find all providers with the same taxonomy | ||||
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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.