1285714550 NPI number — FERRY-OKANOGAN FIRE PROTECTION DISTRICT 14

Table of content: (NPI 1285714550)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285714550 NPI number — FERRY-OKANOGAN FIRE PROTECTION DISTRICT 14

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FERRY-OKANOGAN FIRE PROTECTION 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:
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:
1285714550
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/27/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 98
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CURLEW
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
99118-0098
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-207-0566
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
30 CUSTOMS ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CURLEW
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99118
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-779-4262
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FOSTER
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF
Authorized Official Telephone Number:
509-799-4279

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  10D14 , 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: 9047176 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0114109 . This is a "WASHINGTON L&I" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




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