Organization
SAN JUAN COUNTY FIRE PROTECTION DISTRICT 4
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES P. GHIGLIONE (FIRE CHIEF)
(360) 468-2991
Entity
Organization
Contact information
Practice address
2228 FISHERMAN BAY RD, LOPEZ ISLAND, WA 98261-8676
(360) 468-2991
(360) 468-3716
Mailing address
2228 FISHERMAN BAY RD, LOPEZ ISLAND, WA 98261-8676
(360) 468-2991
(360) 468-3716
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
28D04
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28D04
EMS LICENSE
WA
05
—
9046061
—
WA
Enumeration date
03/27/2007
Last updated
01/23/2013
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