Provider Demographics
NPI:1598731614
Name:KING COUNTY FIRE PROTECTION DISTRICT 50
Entity Type:Organization
Organization Name:KING COUNTY FIRE PROTECTION DISTRICT 50
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:KNISLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-677-2686
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:360-394-7030
Mailing Address - Fax:360-394-7097
Practice Address - Street 1:107 W OLD CASCADE HWY
Practice Address - Street 2:
Practice Address - City:SKYKOMISH
Practice Address - State:WA
Practice Address - Zip Code:98288
Practice Address - Country:US
Practice Address - Phone:360-677-2686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-28
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA17D503416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9039645Medicaid
WA36425OtherL&I AND CRIME VICTIMS
WA590008191OtherRAILROAD MEDICARE PTAN
WAKI2310OtherREGENCE
WAKI2310OtherREGENCE