Provider Demographics
NPI:1922199520
Name:SNOHOMISH COUNTY FIRE PROTECTION DI DISTRICT UNIT 19
Entity Type:Organization
Organization Name:SNOHOMISH COUNTY FIRE PROTECTION DI DISTRICT UNIT 19
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:D
Authorized Official - Last Name:STROTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-652-8277
Mailing Address - Street 1:PO BOX 12383
Mailing Address - Street 2:
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98082-0383
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2720 212TH ST NW
Practice Address - Street 2:
Practice Address - City:STANWOOD
Practice Address - State:WA
Practice Address - Zip Code:98292-6895
Practice Address - Country:US
Practice Address - Phone:360-652-8277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA31D193416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport