1881858108 NPI number — WHATCOM COUNTY FIRE DISTRICT 14

Table of content: (NPI 1881858108)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881858108 NPI number — WHATCOM COUNTY FIRE DISTRICT 14

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WHATCOM COUNTY FIRE DISTRICT 14
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:
6
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:
1881858108
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/28/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 482
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUMAS
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98295-0482
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-599-2823
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
143 COLUMBIA STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SUMAS
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98295-0482
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-599-2823
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/16/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CHRISTENSEN
Authorized Official First Name:
DENISE
Authorized Official Middle Name:
J
Authorized Official Title or Position:
DEPUTY CHIEF
Authorized Official Telephone Number:
360-599-2823

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  37D14 , 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)