MEDICARE: WHATCOM COUNTY FIRE PROTECTION DISTRICT 19

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	37D19	WA

General Provider Information

NPI Number	:	1578701975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHATCOM COUNTY FIRE PROTECTION DISTRICT 19

Provider Business Mailing Address
First Line	:	9953 MOUNT BAKER HWY.
Second Line	:	P. O. BOX 5029
City	:	GLACIER
State	:	WA
Zip	:	98244
Country	:	US
Telephone Number	:	360-599-2558
Fax Number	:	360-599-2447

Provider Business Practice Location Address
First Line	:	9953 MT BAKER HWY
Second Line	:
City	:	DEMING
State	:	WA
Zip	:	98244-9537
Country	:	US
Telephone Number	:	360-599-2447
Fax Number	:	360-599-2447

Authorized Official
Title or Position	:	CHIEF
Name	:	JOSH EVANS
Credential	:
Telephone Number	:	360-599-2447

Provider Enumeration Date	:	01/23/2009
Last Update Date	:	05/05/2025

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