Provider Demographics
NPI:1669042974
Name:GRAYS HARBOR COUNTY FIRE PROTECTION DISTRICT ONE
Entity type:Organization
Organization Name:GRAYS HARBOR COUNTY FIRE PROTECTION DISTRICT ONE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:CARLTON
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:RHOADES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-508-5150
Mailing Address - Street 1:PO BOX 6
Mailing Address - Street 2:
Mailing Address - City:OAKVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98568-0006
Mailing Address - Country:US
Mailing Address - Phone:360-273-6645
Mailing Address - Fax:
Practice Address - Street 1:108 E MAIN ST
Practice Address - Street 2:
Practice Address - City:OAKVILLE
Practice Address - State:WA
Practice Address - Zip Code:98568-9856
Practice Address - Country:US
Practice Address - Phone:360-273-6645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport