Organization
CITY OF MOUNTLAKE TERRACE
Active
Other names
Mountlake Terrace Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
ED WIDDIS (FIRE CHIEF)
(425) 551-1200
Entity
Organization
Contact information
Practice address
12310 MERIDIAN AVE S, EVERETT, WA 98208-5764
(425) 551-1200
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 613-1627
(360) 698-4968
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
31M10
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126918
LABOR & INDUSTRIES
WA
01
—
8923187
CRIME VICTIMS
WA
05
—
9046400
—
WA
01
—
MO3655
REGENCE
WA
Enumeration date
02/24/2006
Last updated
10/19/2007
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