Organization
CENTRAL KITSAP FIRE & RESCUE 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT A WENINGER (FIRE CHIEF)
(360) 447-3550
Entity
Organization
Contact information
Practice address
5300 NW NEWBERRY HILL RD, SUITE #101, SILVERDALE, WA 98383-7389
(360) 447-3550
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
18D01
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507357
—
NV
05
—
102423617001
—
PA
01
—
16676
L&I AND CRIME VICTIMS
WA
01
—
191760200
FEDERAL OWCP
WA
05
—
3039134
—
OH
01
—
590007138
RAILROAD MEDICARE PTAN
WA
05
—
7885838
—
CA
05
—
806064000
—
ID
05
—
9051905
—
WA
01
—
KI2484
REGENCE
WA
Enumeration date
01/09/2006
Last updated
11/06/2012
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