Organization
CLALLAM COUNTY FIRE DISTRICT 5
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY D MATSEN (EMS BILLING SUPERVISOR)
(253) 313-3591
Entity
Organization
Contact information
Practice address
60 EAGLE CREST WAY, CLALLAM BAY, WA 98326
(360) 963-2371
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 394-7030
(360) 394-7097
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05D05
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0228877
L&I AND CRIME VICTIMS
WA
01
—
611731300
OWCP
WA
05
—
9038027
—
WA
Enumeration date
12/26/2007
Last updated
04/30/2025
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