GRAYS HARBOR FIRE DISTRICT 5 NPI 1316911563

NPI Information

NPI: 1316911563
Provider Name: GRAYS HARBOR FIRE DISTRICT 5
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
428 STAMPER ROAD
ELMA, WA
ZIP 98541
Phone: (360) 482-6266
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GRAYS HARBOR FIRE DISTRICT 5 is a land transport ambulance in Elma, WA. GRAYS HARBOR FIRE DISTRICT 5 NPI is 1316911563. The provider is registered as an organization entity type.

The provider's business location address is:

428 STAMPER ROAD
ELMA, WA
ZIP 98541
Phone: (360) 482-6266

The provider's authorized official is Brad Peckham .
The authorized official title is Assistant Fire Chief and has the following contact phone number (360) 482-4903.

The enumeration date for this NPI number is 2/15/2006 and was last updated on 4/17/2013.

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	14D05	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	0143992	OTHER	WASHINGTON	LABOR & INDUSTRIES
2	8903696	OTHER	WASHINGTON	CRIME VICTIMS
3	G8851010	MEDICARE PIN	WASHINGTON
4	9056813	MEDICAID	WASHINGTON
5	9603GR	OTHER	WASHINGTON	REGENCE

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: 4/28/2024

NPI Synchronization or Removal

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