Organization
SAN JUAN ISLAND EMERGENCY MEDICAL SERVICE
Active
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
Update your record
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