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Active NPI 1336432079 Organization (Entity Type 2)

Enumclaw Fire Department

Ambulance - Land Transport • Enumclaw, WA

About Enumclaw Fire Department NPI 1336432079 Summary

Enumclaw Fire Department is a verified healthcare organization specializing in Ambulance - Land Transport operating in Enumclaw, WA. Located at 1330 WELLS ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1336432079.

Administrative operations and authorized compliance are overseen by Randy Fehr (Fire Chief).

Facility Location & Contact Primary Location

Facility Address

1330 Wells St

Enumclaw, WA 980222607

Telephone 3608255544

Authorized Official Information

Authorized Contact Name

Randy Fehr

Title / Role

Fire Chief

Official Telephone

3608255544

Facility Classifications & Specialties

Ambulance - Land Transport Primary Taxonomy

NUCC Taxonomy Code: 3416L0300X

Definition to come...

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

11 Historical Events

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NPI Profile Active August 11, 2017

NPI status registered as active in NPPES database

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Updated Practice Location August 11, 2017

Registered at 1330 WELLS ST, ENUMCLAW, WA 980222607 (Tel: 3608255544)

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Updated Business Mailing Address August 11, 2017

Registered at PO BOX 3510, SILVERDALE, WA 983833510 (Tel: 3603947030)

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Organization / Clinic Name Updated August 11, 2017

Operating as ENUMCLAW FIRE DEPARTMENT

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2017

Ambulance (License #17M06 in WA)

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NPI Profile Active July 18, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location July 18, 2011

Registered at 1330 WELLS ST, ENUMCLAW, WA 980222607 (Tel: 3608255544)

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Updated Business Mailing Address July 18, 2011

Registered at PO BOX 3510, SILVERDALE, WA 983833510 (Tel: 3603947030)

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Organization / Clinic Name Updated July 18, 2011

Operating as KING COUNTY FIRE DIST 28

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2011

Ambulance (License #17M06 in WA)

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Initial NPI Registration & Enumeration May 26, 2011

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1336432079

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: May 26, 2011

Last Update: August 11, 2017

Update or Correct Listing

Mailing Address

Po Box 3510

Silverdale, WA 983833510

Phone: 3603947030

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.