JEFFERSON COUNTY FIRE PROTECTION DISTRICT NO 3 NPI 1548233372

NPI Information

NPI: 1548233372
Provider Name: JEFFERSON COUNTY FIRE PROTECTION DISTRICT NO 3

Doing Business As: PORT LUDLOW FIRE AND RESCUE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
7650 OAK BAY RD
PORT LUDLOW, WA
ZIP 98365
Phone: (360) 437-2236
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JEFFERSON COUNTY FIRE PROTECTION DISTRICT NO 3 is a land transport ambulance in Port Ludlow, WA. JEFFERSON COUNTY FIRE PROTECTION DISTRICT NO 3 NPI is 1548233372. The provider is registered as an organization entity type.
The provider Is Doing Business As Port Ludlow Fire And Rescue.

The provider's business location address is:

7650 OAK BAY RD
PORT LUDLOW, WA
ZIP 98365-634
Phone: (360) 437-2236

The provider's authorized official is Ed Wilkerson .
The authorized official title is Fire Chief and has the following contact phone number (360) 437-2236.

The enumeration date for this NPI number is 2/10/2006 and was last updated on 9/13/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	16D03	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G000201529	MEDICARE PIN	WASHINGTON
2	590009805	OTHER	WASHINGTON	RAILROAD MEDICARE PTAN
3	9039462	MEDICAID	WASHINGTON
4	0036589	OTHER	WASHINGTON	L&I AND CRIME VICTIMS
5	JE0041	OTHER	WASHINGTON	REGENCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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