Organization
VALLEY REGIONAL FIRE AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HORASKI (FINANCE AND ADMINISTRATIVE DIRECTOR)
(253) 288-5803
Entity
Organization
Contact information
Practice address
1101 D STREET, AUBURN, WA 98002-4016
(253) 288-5800
(253) 288-5993
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
17X27
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0217499
L&I AND CRIME VICTIMS
WA
01
—
615068800
OWCP
WA
05
—
9059460
—
WA
01
—
P00838386
RAILROAD MEDICARE PTAN
WA
Enumeration date
12/14/2006
Last updated
05/24/2011
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