Provider Demographics
NPI:1336012368
Name:SOUTH WHIDBEY FIRE/EMS
Entity type:Organization
Organization Name:SOUTH WHIDBEY FIRE/EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARY KAYE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-969-6506
Mailing Address - Street 1:5579 BAYVIEW RD
Mailing Address - Street 2:
Mailing Address - City:LANGLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98260-9694
Mailing Address - Country:US
Mailing Address - Phone:360-969-6506
Mailing Address - Fax:360-321-9385
Practice Address - Street 1:5579 BAYVIEW RD
Practice Address - Street 2:
Practice Address - City:LANGLEY
Practice Address - State:WA
Practice Address - Zip Code:98260-9694
Practice Address - Country:US
Practice Address - Phone:360-321-1533
Practice Address - Fax:360-321-9385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport