Organization
MOSSYROCK EMERGENCY SERVICES
Active
Other names
Lewis County FPD 3
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BLANKENSHIP (ADMINISTRATIVE ASSISTANT)
(360) 983-3456
Entity
Organization
Contact information
Practice address
238 MOSSYROCK ROAD EAST, MOSSYROCK, WA 98564-9501
(360) 983-3456
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(800) 238-9398
(360) 394-7099
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
21D03
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126418
L&I AND CRIME VICTIMS
WA
01
—
2006MO
REGENCE
WA
05
—
9046590
—
WA
01
—
P00238394
RAILROAD MEDICARE
WA
Enumeration date
02/02/2006
Last updated
01/21/2025
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