| Organization Name: | SAN JUAN ISLAND EMERGENCY MEDICAL SERVICE |
| NPI Number: | 1750349460 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CADY C DAVIES (GENERAL MANAGER) |
| Mailing Address: | 1079 Spring St Friday Harbor |
| State: | WA US |
| Postal Code: | 982509756 |
| Phone Number: | 3603785152 |
| Fax Number: | 3603783583 |
| NPI Enumeration Date: | 05/02/2006 |
| NPI Last Update Date: | 11/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 28X02 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |