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General NPI Number Information
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NPI Number | 1689858722
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Entity Type | Organization
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Legal Business Name | CLALLAM COUNTY FIRE DISTRICT 5
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Dates
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Enumeration Date | 12/26/2007
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 60 EAGLE CREST WAY
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City | CLALLAM BAY
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State | WA
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Zip | 98326
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Country | US
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Telephone | 360-963-2371
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3510
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City | SILVERDALE
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State | WA
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Zip | 98383-3510
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Country | US
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Telephone | 360-394-7030
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Fax | 360-394-7097
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Authorized Official
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Title or Position | EMS BILLING SUPERVISOR
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Name | JAY D MATSEN
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Credential |
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Telephone | 253-313-3591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 05D05
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License Number State | WA
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