Organization
CITY OF MOUNTLAKE TERRACE
Active
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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