Provider Demographics
NPI:1023080777
Name:KING COUNTY FIRE PROTECTION DISTRICT 43
Entity type:Organization
Organization Name:KING COUNTY FIRE PROTECTION DISTRICT 43
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:DOERFLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-432-0200
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 1:23775 SE 264TH ST
Practice Address - Street 2:
Practice Address - City:MAPLE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:98038-5843
Practice Address - Country:US
Practice Address - Phone:425-432-0200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-06
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA17D433416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0204864OtherL&I AND CRIME VICTIMS
WAP00342999OtherRAILROAD MEDICARE PTAN
WA615358300OtherOWCP
WA9058066Medicaid
WA8561MAOtherREGENCE
WA9058066Medicaid