Organization
SOUTH BEACH REGIONAL FIRE AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE MCNETT (ADMINISTRATIVE ASSISTANT)
(360) 268-9832
Entity
Organization
Contact information
Practice address
170 WEST SPOKANE STREET, WESTPORT, WA 98595-1195
(360) 268-9832
(360) 268-1880
Mailing address
PO BOX 1195, WESTPORT, WA 98595-1195
(360) 268-9832
(360) 268-1880
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
14X03
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590008144
RAILROAD MEDICARE
WA
05
—
90022989
—
WA
Enumeration date
01/03/2007
Last updated
07/29/2021
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