Organization Name: | PACIFIC COUNTY FIRE PROTECTION DISTRICT 1 |
NPI Number: | 1699749432 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACOB BRUNDAGE (FIRE CHIEF) |
Mailing Address: | 26109 Ridge Ave Ocean Park |
State: | WA US |
Postal Code: | 98640 |
Phone Number: | 3606654451 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2006 |
NPI Last Update Date: | 10/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 25D01 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |