Healthcare Provider Details

I. General information

NPI: 1770556649
Provider Name (Legal Business Name): SNOHOMISH COUNTY FIRE DISTRICT 8
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 10/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9811 CHAPEL HILL RD
LAKE STEVENS WA
98258-1957
US

IV. Provider business mailing address

1825 S LAKE STEVENS RD
LAKE STEVENS WA
98258-1960
US

V. Phone/Fax

Practice location:
  • Phone: 425-334-3034
  • Fax: 425-334-6981
Mailing address:
  • Phone: 425-212-3099
  • Fax: 425-397-0760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number31D08
License Number StateWA

VIII. Authorized Official

Name: KEVIN K O'BRIEN
Title or Position: FIRE CHIEF
Credential:
Phone: 425-334-3034