Healthcare Provider Details

I. General information

NPI: 1669891362
Provider Name (Legal Business Name): GRAYS HARBOR COUNTY FIRE PROTECTION DISTRICT 7
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2014
Last Update Date: 08/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 COPALIS BEACH RD
COPALIS BEACH WA
98535-9707
US

IV. Provider business mailing address

PO BOX 3510
SILVERDALE WA
98383-3510
US

V. Phone/Fax

Practice location:
  • Phone: 360-289-4338
  • Fax:
Mailing address:
  • Phone: 360-394-7020
  • Fax: 360-394-7099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberAMB.ES.60422090
License Number StateWA

VIII. Authorized Official

Name: MR. JAMES HOWARD WESTBY
Title or Position: FIRE CHIEF
Credential:
Phone: 360-580-3586