PIERCE COUNTY FIRE PROT DIST #17; NPI #1518933886

Contact Information

PIERCE COUNTY FIRE PROT DIST #17

302 MCNAUGHT ST S
ROY, WA 98580

Phone: 253-843-2425
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for PIERCE COUNTY FIRE PROT DIST #17

NPI # 1518933886

LBN Legal business name PIERCE COUNTY FIRE PROT DIST #17

Authorized official SAM YOUNT - (ASSISTANT FIRE CHIEF)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/27/2006

Last updated 04/21/2009 - About 17 years ago

Identifiers

WA	License #	27D17
WA	Medicaid	9052150
WA	Other	8928206	CRIME VICTIMS
WA	Other	0153758	LABOR & INDUSTRIES
WA	Other	590015055	RAILROAD MEDICARE
WA	Other	3560PI	REGENCE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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