Organization
SNOHOMISH COUNTY FIRE DISTRICT 4
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON E LEIGHTY (FIRE CHIEF)
(360) 568-2141
Entity
Organization
Contact information
Practice address
1525 AVENUE D, SNOHOMISH, WA 98290-1709
(360) 568-2141
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
31D04
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005524
LABOR & INDUSTRIES
WA
01
—
590010492
RAILROAD MEDICARE
WA
05
—
9029224
—
WA
01
—
SN2698
REGENCE
WA
Enumeration date
02/10/2006
Last updated
02/19/2025
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