Organization
PIERCE COUNTY FIRE PROT DIST #17
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM YOUNT (ASSISTANT FIRE CHIEF)
(253) 377-1963
Entity
Organization
Contact information
Practice address
302 MCNAUGHT ST S, ROY, WA 98580
(253) 843-2425
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 613-1627
(360) 698-4968
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
27D17
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0153758
LABOR & INDUSTRIES
WA
01
—
3560PI
REGENCE
WA
01
—
590015055
RAILROAD MEDICARE
WA
01
—
8928206
CRIME VICTIMS
WA
05
—
9052150
—
WA
Enumeration date
02/27/2006
Last updated
04/21/2009
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