Organization
CITY OF MOUNT VERNON
Active
Other names
Mount Vernon Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE ELIZABETH LOVE-JOHNSON (ADMINISTRATOR)
(360) 420-7090
Entity
Organization
Contact information
Practice address
910 CLEVELAND AVE, MOUNT VERNON, WA 98273-4212
(360) 336-6277
Mailing address
1901 N LAVENTURE RD, MOUNT VERNON, WA 98273-5804
(360) 336-6277
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
29M07
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0261141
L&I AND CRIME VICTIMS
WA
Enumeration date
02/17/2010
Last updated
07/10/2020
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