Organization
JEFFERSON COUNTY FIRE PROTECTION DISTRICT 1 JEFFERSON COUNTY
Active
Other names
East Jefferson Fire Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON POMEROY (FIRE CHIEF)
(360) 385-2626
Entity
Organization
Contact information
Practice address
24 SETON RD, PORT TOWNSEND, WA 98368-9799
(360) 385-2626
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
16D01
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0069020
L&I AND CRIME VICTIMS
WA
05
—
1027804
—
WA
05
—
500683499
—
OR
01
—
590000289
RAILROAD MEDICARE PTAN
WA
01
—
611461000
OWCP
WA
01
—
JE5741
REGENCE
WA
Enumeration date
02/14/2006
Last updated
04/07/2015
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