Organization
SOUTH KITSAP FIRE AND RESCUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE GUDMUNDSEN (BILLING MANAGER)
(360) 871-2420
Entity
Organization
Contact information
Practice address
1974 FIRCREST DR SE, PORT ORCHARD, WA 98366-2639
(360) 871-2420
(360) 871-2426
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(800) 238-9398
(360) 394-7097
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
18D07
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9147307
—
WA
Enumeration date
10/04/2006
Last updated
10/13/2025
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