Provider Demographics
NPI:1205301074
Name:MASON COUNTY FIRE PROTECTION DISTRICT NO 16
Entity type:Organization
Organization Name:MASON COUNTY FIRE PROTECTION DISTRICT NO 16
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:WELANDER
Authorized Official - Last Name:WELANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-426-7343
Mailing Address - Street 1:PO BOX 2436
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:WA
Mailing Address - Zip Code:98584-5065
Mailing Address - Country:US
Mailing Address - Phone:360-426-7343
Mailing Address - Fax:360-426-2299
Practice Address - Street 1:4650 W DAYTON AIRPORT RD
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:WA
Practice Address - Zip Code:98584-8093
Practice Address - Country:US
Practice Address - Phone:360-426-7343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-09
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA601641465OtherUBI