Provider Demographics
NPI:1396454740
Name:KING COUNTY FIRE DISTRICT NO 45
Entity type:Organization
Organization Name:KING COUNTY FIRE DISTRICT NO 45
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACTING CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOFFATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-788-1625
Mailing Address - Street 1:PO BOX 338
Mailing Address - Street 2:
Mailing Address - City:DUVALL
Mailing Address - State:WA
Mailing Address - Zip Code:98019-0338
Mailing Address - Country:US
Mailing Address - Phone:425-788-1625
Mailing Address - Fax:425-788-1625
Practice Address - Street 1:15600 1ST AVE NE
Practice Address - Street 2:
Practice Address - City:DUVALL
Practice Address - State:WA
Practice Address - Zip Code:98019-6431
Practice Address - Country:US
Practice Address - Phone:425-788-1625
Practice Address - Fax:425-788-0199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-15
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty