| Organization Name: | SNOHOMISH COUNTY FIRE DISTRICT 17 |
| NPI Number: | 1134343254 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JIM HAVERFIELD (FIRE CHIEF) |
| Mailing Address: | 116 S. Granite Avenue Granite Falls |
| State: | WA US |
| Postal Code: | 98252 |
| Phone Number: | 3606915553 |
| Fax Number: | 3606917837 |
| NPI Enumeration Date: | 04/12/2007 |
| NPI Last Update Date: | 01/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 31D17 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |