Organization
JEFFERSON COUNTY FIRE PROTECTION DISTRICT 5
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE KNOEPFLE (FIRE CHIEF)
(360) 379-6839
Entity
Organization
Contact information
Practice address
12 BENTLEY PL, PORT TOWNSEND, WA 98368-8725
(360) 379-6839
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
16D05
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0072596
L&I AND CRIME VICTIMS
WA
01
—
8940266
CRIME VICTIMS
WA
05
—
9034026
—
WA
01
—
JE1168
REGENCE
WA
Enumeration date
02/02/2006
Last updated
09/17/2013
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