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Organization

CITY OF CLARKSTON

Active
Other names
Clarkston Fire Department
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN M COOPER (FIRE CHIEF)
(509) 758-8681
Entity
Organization

Contact information

Practice address
820 5TH ST, CLARKSTON, WA 99403-2634
(509) 758-8681
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 394-7030
(360) 394-7097

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
02M03
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0259815
L&I/CRIME VICTIMS
WA
05
1043442759
ID
05
2006867
WA
01
615253100
OWCP-FEDERAL WORKER'S COMP
01
P00811055
RAILROAD MEDICARE PTAN
WA
Enumeration date
08/13/2009
Last updated
04/02/2013
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