Provider Demographics
NPI:1063485837
Name:PIERCE COUNTY FIRE DIST NO 3
Entity Type:Organization
Organization Name:PIERCE COUNTY FIRE DIST NO 3
Other - Org Name:WEST PIERCE FIRE & RESCUE
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR - ADMIN SERVICES/FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:KOREE
Authorized Official - Middle Name:R
Authorized Official - Last Name:WICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-564-1623
Mailing Address - Street 1:PO BOX 3510
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-3510
Mailing Address - Country:US
Mailing Address - Phone:360-394-7020
Mailing Address - Fax:360-394-7097
Practice Address - Street 1:3631 DREXLER DR W
Practice Address - Street 2:SUITE B
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98466-4425
Practice Address - Country:US
Practice Address - Phone:253-564-1623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-10
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA27D033416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0099827OtherL&I AND CRIME VICTIMS
WAPI6676OtherREGENCE
WA9040163Medicaid
WA590009966Medicare ID - Type UnspecifiedRAILROAD MEDICARE
WA9040163Medicaid