Organization
EAST GRAYS HARBOR FIRE AND RESCUE
Active
Organization
EAST GRAYS HARBOR FIRE AND RESCUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY ANN COON (ADMINISTRATIVE ASSISTANT CHIEF)
(360) 482-4903
Entity
Organization
Contact information
Practice address
428 STAMPER ROAD, ELMA, WA 98541
(360) 482-6266
Mailing address
PO BOX 717, ELMA, WA 98541-0717
(360) 482-3143
(360) 482-3152
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
14D05
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0143992
LABOR & INDUSTRIES
WA
01
—
8903696
CRIME VICTIMS
WA
05
—
9056813
—
WA
01
—
9603GR
REGENCE
WA
Enumeration date
02/15/2006
Last updated
09/12/2024
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