Organization
MASON COUNTY FPD #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEAU BAKKEN (FIRE CHIEF)
(360) 275-6711
Entity
Organization
Contact information
Practice address
460 NE OLD BELFAIR HWY, BELFAIR, WA 98528-9637
(360) 275-6711
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
23D02
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076518
LABOR & INDUSTRIES
WA
01
—
8913847
CRIME VICTIMS
WA
05
—
9027681
—
WA
01
—
MA5224
REGENCE
WA
Enumeration date
02/28/2006
Last updated
04/22/2009
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