Healthcare Provider Details

I. General information

NPI: 1639047459
Provider Name (Legal Business Name): GRAYS HARBOR FIRE PROTECTION DISTRICT #10
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2025
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4660 WISHKAH RD
ABERDEEN WA
98520-9626
US

IV. Provider business mailing address

4660 WISHKAH RD
ABERDEEN WA
98520-9626
US

V. Phone/Fax

Practice location:
  • Phone: 360-533-5773
  • Fax: 360-532-1607
Mailing address:
  • Phone: 360-533-5773
  • Fax: 360-532-1607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MICHAEL L PAULEY
Title or Position: ASSISTANT CHIEF MO
Credential: EMT
Phone: 360-580-7532