Provider Demographics
NPI:1285714550
Name:FERRY-OKANOGAN FIRE PROTECTION DISTRICT 14
Entity type:Organization
Organization Name:FERRY-OKANOGAN FIRE PROTECTION DISTRICT 14
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-799-4279
Mailing Address - Street 1:PO BOX 98
Mailing Address - Street 2:
Mailing Address - City:CURLEW
Mailing Address - State:WA
Mailing Address - Zip Code:99118-0098
Mailing Address - Country:US
Mailing Address - Phone:509-207-0566
Mailing Address - Fax:
Practice Address - Street 1:30 CUSTOMS ROAD
Practice Address - Street 2:
Practice Address - City:CURLEW
Practice Address - State:WA
Practice Address - Zip Code:99118
Practice Address - Country:US
Practice Address - Phone:509-779-4262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA10D143416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9047176Medicaid
WA0114109OtherWASHINGTON L&I
WAGAB03961Medicare ID - Type UnspecifiedMEDICARE