Organization
CITY OF PORT ANGELES
Active
Other names
Port Angeles Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
KEN D DUBUC (FIRE CHIEF)
(360) 417-4653
Entity
Organization
Contact information
Practice address
102 E 5TH ST, PORT ANGELES, WA 98362-3014
(360) 417-4655
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
05M03
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07093
LABOR & INDUSTRIES
WA
01
—
590012037
RAILROAD MEDICARE
WA
01
—
613694000
OWCP
WA
05
—
9023813
—
WA
01
—
CI2587
REGENCE
WA
Enumeration date
01/09/2006
Last updated
10/26/2012
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