Organization
MASON COUNTY FIRE DISTRICT 18
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE MOTT (FIRE CHIEF)
(360) 877-9882
Entity
Organization
Contact information
Practice address
240 N STANDSTILL DR S, HOODSPORT, WA 98548-9777
(360) 877-9882
(360) 877-6220
Mailing address
240 N STANDSTILL DR S, HOODSPORT, WA 98548-9777
(360) 877-9882
(360) 877-6220
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
23D18
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0172612
L&I WORKER'S COMPENSATION
WA
01
—
8939976
L&I CRIME VICTIMS FUND
WA
05
—
9053927
—
WA
Enumeration date
12/28/2005
Last updated
03/08/2012
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