PIERCE COUNTY FIRE DIST NO 3 NPI 1063485837

NPI Information

NPI: 1063485837
Provider Name: PIERCE COUNTY FIRE DIST NO 3

Other Name: WEST PIERCE FIRE & RESCUE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 50D2208705

Address:
3631 DREXLER DR W
SUITE B
UNIVERSITY PLACE, WA
ZIP 98466
Phone: (253) 564-1623
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PIERCE COUNTY FIRE DIST NO 3 is a land transport ambulance in University Place, WA. PIERCE COUNTY FIRE DIST NO 3 NPI is 1063485837. The provider is registered as an organization entity type.
The provider Other Name Is West Pierce Fire & Rescue.

The provider's business location address is:

3631 DREXLER DR W
SUITE B
UNIVERSITY PLACE, WA
ZIP 98466-425
Phone: (253) 564-1623

The provider's authorized official is Koree R Wick .
The authorized official title is Director - Admin Services/finance and has the following contact phone number (253) 564-1623.

The CLIA number assigned to this NPI record is 50D2208705 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/10/2006 and was last updated on 11/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	27D03	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0099827	OTHER	WASHINGTON	L&I AND CRIME VICTIMS
2	PI6676	OTHER	WASHINGTON	REGENCE
3	9040163	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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