Organization
JEFFERSON COUNTY FIRE PROTECTION DISTRICT NO 3
Active
Other names
Port Ludlow Fire and Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
ED WILKERSON (FIRE CHIEF)
(360) 437-2236
Entity
Organization
Contact information
Practice address
7650 OAK BAY RD, PORT LUDLOW, WA 98365-9634
(360) 437-2236
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
16D03
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036589
L&I AND CRIME VICTIMS
WA
01
—
590009805
RAILROAD MEDICARE PTAN
WA
05
—
9039462
—
WA
01
—
JE0041
REGENCE
WA
Enumeration date
02/10/2006
Last updated
09/13/2011
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