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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