Organization
SAN JUAN ISLAND EMERGENCY MEDICAL SERVICE
Active
Other names
San Juan Island EMS
Organization subpart
No
Provider details
NPI number
Authorized official
CADY C DAVIES EMT (GENERAL MANAGER)
(360) 378-5152
Entity
Organization
Contact information
Practice address
1079 SPRING ST, FRIDAY HARBOR, WA 98250-9756
(360) 378-5152
(360) 378-3583
Mailing address
PO BOX 2178, FRIDAY HARBOR, WA 98250-2178
(360) 378-5152
(360) 378-3583
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
28X02
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0205076
DEPARTMENT OF LABOR
WA
01
—
115000544
BC/BS--SEATTLE
WA
05
—
9040130
—
WA
01
—
G115000544
RAILROAD MEDICARE
WA
Enumeration date
05/02/2006
Last updated
11/08/2012
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