Organization
FIRE PROTECTION DIST 5 MASON COUNTY
Active
Other names
Central Mason Fire & EMS
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY M MCKERN (FIRE CHIEF)
(360) 426-5533
Entity
Organization
Contact information
Practice address
122 W FRANKLIN ST, SHELTON, WA 98584-3511
(360) 426-5533
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 394-7010
(360) 394-7099
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
23D05
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016021
L&I WORKERS COMPENSATION
WA
05
—
1003569
—
WA
01
—
590005425
RAILROAD MEDICARE
WA
Enumeration date
12/28/2005
Last updated
04/27/2015
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