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Organization

MARYSVILLE FIRE DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREG CORN (FIRE CHIEF)
(360) 363-8501
Entity
Organization

Contact information

Practice address
1094 CEDAR AVE, MARYSVILLE, WA 98270-4233
(360) 363-8500
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 394-7030
(360) 394-7097

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
31M08
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0024896
L&I AND CRIME VICTIMS
WA
05
499846
AZ
05
500616219
OR
01
615388100
OWCP ENERGY
05
9039413
WA
05
GA003WA
AK
01
P00682893
RAILROAD MEDICARE
WA
Enumeration date
10/28/2008
Last updated
10/15/2012
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