Healthcare Provider Details

I. General information

NPI: 1942256441
Provider Name (Legal Business Name): WHATCOM COUNTY FPD #13
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 10/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9408 ODELL ST
BLAINE WA
98230-9753
US

IV. Provider business mailing address

PO BOX 3510
SILVERDALE WA
98383-3510
US

V. Phone/Fax

Practice location:
  • Phone: 360-318-9933
  • Fax:
Mailing address:
  • Phone: 360-613-1627
  • Fax: 360-698-4968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number37D13
License Number StateWA

VIII. Authorized Official

Name: THOMAS FIELDS
Title or Position: FIRE CHIEF
Credential:
Phone: 360-318-9933