MASON COUNTY FIRE PROTECTION DIST 4 NPI 1548247927

NPI Information

NPI: 1548247927
Provider Name: MASON COUNTY FIRE PROTECTION DIST 4
Classification: Ambulance - 3416L0300X
Specialization: Land Transport
Entity Type: Organization
CLIA Number: 50D2096480
Address: 2970 SE ARCADIA RD
SHELTON, WA
ZIP 98584
Phone: (360) 426-7222

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NPI Details

MASON COUNTY FIRE PROTECTION DIST 4 is a land transport ambulance in Shelton, WA. MASON COUNTY FIRE PROTECTION DIST 4 NPI is 1548247927. The provider is registered as an organization entity type.

The provider's business location address is:

2970 SE ARCADIA RD
SHELTON, WA
ZIP 98584-324
Phone: (360) 426-7222
Fax: (360) 427-6120

The provider's authorized official is Lisa Sue Brengan .
The authorized official title is Office Manager and has the following contact phone number (360) 426-7222.

The CLIA number assigned to this NPI record is 50D2096480 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

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, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)
Ambulance service, basic life support, non-emergency transport, (bls) (HCPCS:A0428)

The enumeration date for this NPI number is 12/28/2005 and was last updated on 6/20/2012.

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	23D04	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	0173322	OTHER	WASHINGTON	L&I WORKERS COMPENSATION
2	P00170170	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON	RAILROAD MEDICARE
3	GAB29348	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
4	9053190	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: 11/21/2025

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