Provider Demographics
NPI:1083297154
Name:PUGET SOUND REGIONAL FIRE AUTHORITY
Entity Type:Organization
Organization Name:PUGET SOUND REGIONAL FIRE AUTHORITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:TYERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-856-4300
Mailing Address - Street 1:24611 116TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-4939
Mailing Address - Country:US
Mailing Address - Phone:253-856-4300
Mailing Address - Fax:253-856-6300
Practice Address - Street 1:24611 116TH AVE SE
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-4939
Practice Address - Country:US
Practice Address - Phone:253-856-4300
Practice Address - Fax:253-856-6300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-05
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Multi-Specialty