Organization
SHORELINE FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B BUNJE (FIRE CHIEF)
(206) 533-6500
Entity
Organization
Contact information
Practice address
17525 AURORA AVE N, SHORELINE, WA 98133-4812
(206) 533-6500
(206) 546-5719
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
17D04
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0273054
L&I-CRIME VICTIMS
WA
05
—
2010580
—
WA
01
—
P00994665
RAILROAD MEDICARE
WA
Enumeration date
12/07/2010
Last updated
03/13/2012
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