Provider Demographics
NPI:1366415994
Name:PIERCE COUNTY FIRE PROTECTION DISTRICT 16
Entity type:Organization
Organization Name:PIERCE COUNTY FIRE PROTECTION DISTRICT 16
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DOMINICK
Authorized Official - Middle Name:
Authorized Official - Last Name:SWINHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-900-9404
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:360-394-7030
Mailing Address - Fax:360-394-7097
Practice Address - Street 1:8911 KEY PENINSULA HWY KPN
Practice Address - Street 2:
Practice Address - City:LAKEBAY
Practice Address - State:WA
Practice Address - Zip Code:98349
Practice Address - Country:US
Practice Address - Phone:253-884-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-13
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA27D163416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9175704Medicaid
WA590007467OtherRAILROAD MEDICARE
WA84912OtherL&I AND CRIME VICTIMS
WA9175704Medicaid
WAG001000584Medicare PIN