Organization
SOUTH PIERCE FIRE AND RESCUE DISTRICT NO 17
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZANE GIBSON (FIRE CHIEF)
(253) 948-2971
Entity
Organization
Contact information
Practice address
5403 340TH ST E, EATONVILLE, WA 98328-9633
(253) 847-4333
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0250027
L&I/CRIME VICTIMS
WA
01
—
590015055
RAILROAD MEDICARE
—
05
—
9063223
—
WA
05
—
GA001WA
—
AK
Enumeration date
03/11/2009
Last updated
07/15/2025
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