1578701975 NPI number — WHATCOM COUNTY FIRE PROTECTION DISTRICT. 19

Table of content: (NPI 1578701975)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578701975 NPI number — WHATCOM COUNTY FIRE PROTECTION DISTRICT. 19

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WHATCOM COUNTY FIRE PROTECTION DISTRICT. 19
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
GLACIER FIRE & RESCUE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578701975
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/23/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9953 MOUNT BAKER HWY.
Provider Second Line Business Mailing Address:
P. O. BOX 5029
Provider Business Mailing Address City Name:
GLACIER
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98244
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-599-2558
Provider Business Mailing Address Fax Number:
360-599-2447

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9953 MOUNT BAKER HWY.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GLACIER
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98244
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-599-2558
Provider Business Practice Location Address Fax Number:
360-599-2447
Provider Enumeration Date:
01/23/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ESKOLA
Authorized Official First Name:
JAN
Authorized Official Middle Name:
Authorized Official Title or Position:
COMMISSIONER
Authorized Official Telephone Number:
360-599-2558

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  37D19 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)