SOUTH PIERCE FIRE AND RESCUE DISTRICT NO 17 NPI 1225279847

NPI Information

NPI: 1225279847
Provider Name: SOUTH PIERCE FIRE AND RESCUE DISTRICT NO 17
Classification: Ambulance - 3416L0300X
Specialization: Land Transport
Entity Type: Organization
Address: 5403 340TH ST E
EATONVILLE, WA
ZIP 98328
Phone: (253) 847-4333

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NPI Details

SOUTH PIERCE FIRE AND RESCUE DISTRICT NO 17 is a land transport ambulance in Eatonville, WA. SOUTH PIERCE FIRE AND RESCUE DISTRICT NO 17 NPI is 1225279847. The provider is registered as an organization entity type.

The provider's business location address is:

5403 340TH ST E
EATONVILLE, WA
ZIP 98328-633
Phone: (253) 847-4333

The provider's authorized official is Zane Gibson .
The authorized official title is Fire Chief and has the following contact phone number (253) 948-2971.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Ground mileage, per statute mile (HCPCS:A0425)
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)
Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)

The enumeration date for this NPI number is 3/11/2009 and was last updated on 7/15/2025.

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			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	GA001WA	MEDICAID	ALASKA
2	0250027	OTHER	WASHINGTON	L&I/CRIME VICTIMS
3	9063223	MEDICAID	WASHINGTON
4	590015055	OTHER		RAILROAD MEDICARE

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: 11/21/2025

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