Organization
SAN JUAN COUNTY FIRE DISTRICT #4
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN R UNGARETTI CCEMTP (GENERAL MANAGER)
(406) 549-7104
Entity
Organization
Contact information
Practice address
2228 FISHERMAN BAY RD, LOPEZ ISLAND, WA 98261-8676
(360) 468-2991
(360) 468-3716
Mailing address
1008 BURLINGTON AVE, SUITE C, MISSOULA, MT 59801-5681
(406) 549-7104
(406) 542-2785
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
28D04
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9046061
—
WA
Enumeration date
06/01/2007
Last updated
08/22/2020
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