WALLA WALLA COUNTY FIRE PROTECTION DISTRICT NO 5 (NPI# 1326025677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326025677 |
| Entity Type | Organization |
| Organization Name | WALLA WALLA COUNTY FIRE PROTECTION DISTRICT NO 5 |
| Practice Address |
460 West Humorist Road Burbank WA 99323 |
| Practice Telephone | 5095478341 |
| Practice Fax Number | 5095473533 |
| Mailing Telephone | 5095478341 |
| Mailing Fax Number | 5095473533 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2013-03-20 |
| Authorized Official Name | MIKE WICKSTROM (FIRE CHIEF) |
| Authorized Official Telephone | 5095478341 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 341600000X | Ambulance | 36D05 | WA | Transportation Services |
| N | 341600000X | Ambulance | 601138641 | WA | Transportation Services |
| Y | 146N00000X | Emergency Medical Technician, Basic | Emergency Medical Service Providers |
| Street Address |
460 WEST HUMORIST ROAD |
| City | BURBANK |
| State | WA |
| Zip Code | 99323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720535230 | Marisa Dexter | Massage Therapist | 24 Robin Rd, Burbank, WA 99323 | 2016-09-01 |
| 1184741324 | Shellie M. Michael | Specialist | 376 Ringhoff Rd., Burbank, WA 99323 | 2007-03-23 |
| 1649433897 | Shelie Greco | Massage Therapist | 386 Westbourne Loop, Burbank, WA 99323-8517 | 2008-07-08 |
| 1972857100 | Donette Faye Marks | Specialist/Technologist | 755 Maple St, Burbank, WA 99323-8523 | 2012-11-09 |
| 1265462469 | Columbia School District Burbank #400 | Local Education Agency (LEA) | 835 Maple St, Burbank, WA 99323-8534 | 2006-07-03 |
| 1467070607 | Jamie Ellis | Behavior Technician | 101 Valley Dr, Burbank, WA 99323-9656 | 2020-07-13 |
| 1528676806 | Yuridia Villalobos | Community Health Worker | 149 2nd Ave, Burbank, WA 99323-9700 | 2020-07-22 |
| 1043554181 | Michelle Lyn Nelson | Occupational Therapist | 386 Tuttle Ln, Burbank, WA 99323-9717 | 2012-11-15 |
| 1679001580 | Therapy Options LLC | Occupational Therapist | 386 Tuttle Ln, Burbank, WA 99323-9717 | 2017-05-23 |
| 1235478140 | Melissa Vandertop | Occupational Therapist | 386 Tuttle Ln, Burbank, WA 99323-9717 | 2013-02-13 |
| Find all providers in zip 99323 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183412 | Alexandra Grace Wooten | Emergency Medical Technician, Basic | 5043 N Visscher St, Tacoma, WA 98407-2112 | 2020-08-06 |
| 1750905246 | Renton Regional Fire Authority | Emergency Medical Technician, Basic | 18002 108th Ave Se, Renton, WA 98055-6445 | 2020-06-01 |
| 1609404409 | Montana Wynn Gubrud | Emergency Medical Technician, Basic | 1705 Dock St Unit 334, Tacoma, WA 98402-3216 | 2020-03-29 |
| 1295298362 | Tricia May Lopez Holway | Emergency Medical Technician, Basic | 2407 193rd St E, Spanaway, WA 98387-3418 | 2019-04-07 |
| 1477014512 | Chet Merklin | Emergency Medical Technician, Basic | 13075 Gateway Dr S Ste 100, Tukwila, WA 98168-3342 | 2019-03-29 |
| 1104392463 | Kalpana Sherpa | Emergency Medical Technician, Basic | 2696 Erwin Ave, Dupont, WA 98327-8758 | 2018-10-15 |
| 1306311667 | Michael Dean Torres | Emergency Medical Technician, Basic | Madigan Army Medical Center, 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2018-10-12 |
| 1285125351 | Xinhui Huang | Emergency Medical Technician, Basic | 4815 Wa Tau Ga Ave Ne, Tacoma, WA 98422-1757 | 2018-05-24 |
| 1003304221 | Chloe Treleven | Emergency Medical Technician, Basic | 2840 Eastlake Ave E Apt 312, Seattle, WA 98102-3042 | 2018-04-23 |
| 1104344472 | Chalsea Jayne Hicks Nerys | Emergency Medical Technician, Basic | Madigan Army Medical Center Attn: Mchj-clq-c, Tacoma, WA 98431-0001 | 2017-09-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.