Provider Demographics
NPI:1528207214
Name:COUNTY OF WHATCOM
Entity Type:Organization
Organization Name:COUNTY OF WHATCOM
Other - Org Name:WHATCOM COUNTY FIRE DISTRICT #16
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:CANDY
Authorized Official - Middle Name:K
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-595-2161
Mailing Address - Street 1:PO BOX 37
Mailing Address - Street 2:
Mailing Address - City:ACME
Mailing Address - State:WA
Mailing Address - Zip Code:98220-0037
Mailing Address - Country:US
Mailing Address - Phone:360-595-2161
Mailing Address - Fax:360-595-2161
Practice Address - Street 1:2036 VALLEY HIGHWAY
Practice Address - Street 2:
Practice Address - City:ACME
Practice Address - State:WA
Practice Address - Zip Code:98220-2036
Practice Address - Country:US
Practice Address - Phone:360-595-2161
Practice Address - Fax:360-595-2161
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WHATCOM MEDIC ONE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAMBV.ES00000801341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance