Provider Demographics
NPI:1740360866
Name:SNOHOMISH COUNTY FIRE PROTECTION DISTRICT 18
Entity type:Organization
Organization Name:SNOHOMISH COUNTY FIRE PROTECTION DISTRICT 18
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DALE
Authorized Official - Middle Name:
Authorized Official - Last Name:FULFS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-652-1246
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:360-613-1627
Mailing Address - Fax:360-698-4968
Practice Address - Street 1:19727 MARINE DR
Practice Address - Street 2:
Practice Address - City:STANWOOD
Practice Address - State:WA
Practice Address - Zip Code:98292-7879
Practice Address - Country:US
Practice Address - Phone:360-652-1246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA31D183416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0173200OtherLABOR & INDUSTRIES
WA8932753OtherCRIME VICTIMS
WA9054370Medicaid
WAP00030572OtherRAILROAD MEDICARE
WA8932753OtherCRIME VICTIMS