Organization
JEFFERSON RURAL FIRE PROTECTION DIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SHEPHERD (ASSISTANT CHIEF)
(541) 327-2822
Entity
Organization
Contact information
Practice address
189 N MAIN ST, JEFFERSON, OR 97352
(541) 327-2822
(541) 327-2279
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 394-7020
(360) 394-7099
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
244105
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158862
—
OR
01
—
590012910
RAILROAD MEDICARE PIN
OR
Enumeration date
05/31/2005
Last updated
02/14/2014
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