NPI 1063499432

Mason Co Fpd No 3

Organisation Land Ambulance Grapeview, WA

Practice location

Address: 4350 E Grapeview Loop Rd, Grapeview, WA 98546
Phone: (360) 275-4483
Mailing address: PO Box 3510, Silverdale, WA 98383-3510

Authorised official

Name: Patti Graeber
Title: Fire Chief
Phone: (360) 275-4483

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 23D03 (WA)

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Registry record

NPI: 1063499432
Entity type: Organization
NPI issued: 28 Dec 2005
Record last updated: 5 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.