1770556649 NPI number — SNOHOMISH COUNTY FIRE DISTRICT 8

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770556649 NPI number — SNOHOMISH COUNTY FIRE DISTRICT 8

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SNOHOMISH COUNTY FIRE DISTRICT 8
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:
Provider Other Organization Name Type Code:
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:
1770556649
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/11/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1825 S LAKE STEVENS RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAKE STEVENS
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98258-1960
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-212-3099
Provider Business Mailing Address Fax Number:
425-397-0760

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9811 CHAPEL HILL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAKE STEVENS
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98258-1957
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-334-3034
Provider Business Practice Location Address Fax Number:
425-334-6981
Provider Enumeration Date:
02/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
O'BRIEN
Authorized Official First Name:
KEVIN
Authorized Official Middle Name:
K
Authorized Official Title or Position:
FIRE CHIEF
Authorized Official Telephone Number:
425-334-3034

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  31D08 , 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)

  • Identifier: 9029869 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com