Organization
CITY OF MERCER ISLAND
Active
Other names
Mercer Island Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN D TUBBS (FIRE CHIEF)
(206) 275-7960
Entity
Organization
Contact information
Practice address
3030 78TH AVE SE, MERCER ISLAND, WA 98040-2823
(206) 275-7607
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
17M10
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0273247
L&I AND CRIME VICTIMS
WA
05
—
2011047
—
WA
01
—
615777900
OWCP
—
01
—
P01063330
RAILROAD MEDICARE
WA
Enumeration date
01/10/2011
Last updated
10/11/2012
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