Provider Demographics
NPI:1659347631
Name:PIERCE COUNTY FIRE PROTECTION #2
Entity Type:Organization
Organization Name:PIERCE COUNTY FIRE PROTECTION #2
Other - Org Name:LAKEWOOD FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BATTALION CHIEF EMS
Authorized Official - Prefix:
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-983-4582
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 1:10928 PACIFIC HWY SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-4641
Practice Address - Country:US
Practice Address - Phone:253-582-4600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-28
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA27D023416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA107942OtherL&I AND CRIME VICTIMS
WA9040718Medicaid
WAPI1660OtherREGENCE
CAXMTE06291Medicaid
CAXMTE06291Medicaid