Provider Demographics
NPI:1285932178
Name:MASON COUNTY FIRE PROTECTION DIST NO 6
Entity type:Organization
Organization Name:MASON COUNTY FIRE PROTECTION DIST NO 6
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:CLINT
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-898-4871
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:WA
Mailing Address - Zip Code:98592-0039
Mailing Address - Country:US
Mailing Address - Phone:360-898-4871
Mailing Address - Fax:
Practice Address - Street 1:50 E SEATTLE ST
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:WA
Practice Address - Zip Code:98592-9617
Practice Address - Country:US
Practice Address - Phone:360-898-4871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-02
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA23D063416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9049115Medicaid
GAB00844Medicare PIN