1215906656 NPI number — GRANT COUNTY FIRE DISTRICT NO. 8

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215906656 NPI number — GRANT COUNTY FIRE DISTRICT NO. 8

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GRANT COUNTY FIRE DISTRICT NO. 8
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
GRANT COUNTY FIRE DISTRICT 8
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215906656
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/14/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20643 RD 22.5 SW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MATTAWA
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
99349
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-932-4777
Provider Business Mailing Address Fax Number:
509-932-4747

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20643 RD 22.5 SW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MATTAWA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99349
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-932-4777
Provider Business Practice Location Address Fax Number:
509-932-4747
Provider Enumeration Date:
03/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HYNDMAN
Authorized Official First Name:
MATTHEW
Authorized Official Middle Name:
S
Authorized Official Title or Position:
FIRE CHIEF
Authorized Official Telephone Number:
509-932-4777

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  AMBV.ES.00000143 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0084700 . This is a "L I" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 9206301 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".




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