Healthcare Provider Details

I. General information

NPI: 1487645479
Provider Name (Legal Business Name): TOWN OF WILBUR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 N W DIVISION ST
WILBUR WA
99185
US

IV. Provider business mailing address

PO BOX 3510
SILVERDALE WA
98383-3510
US

V. Phone/Fax

Practice location:
  • Phone: 509-647-5821
  • Fax: 509-647-2047
Mailing address:
  • Phone: 800-238-9398
  • Fax: 360-394-7097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number22MO8
License Number StateWA

VIII. Authorized Official

Name: MELISSA DAWN BULGER
Title or Position: CLERK/TREASURER
Credential:
Phone: 509-647-5821