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CLALLAM COUNTY FIRE DISTRICT 5

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Company Details

Legal Name: CLALLAM COUNTY FIRE DISTRICT 5
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Inactive
Formation/ Registration Date: June 2nd 2008
Date of Dissolution: October 3rd 2011
Expiration date: 30 Jun 2011
UBI Number: 602 837 166
ZIP code: 98326
City: Clallam Bay
County: CLALLAM
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 60 EAGLE CREST WAY, CLALLAM BAY, WA, 98326, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $912

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Registered Agent Information

Name Role Address
PATRICIA HUTSON Registered Agent 60 EAGLE CREST WAY, CLALLAM BAY, WA, 98326, UNITED STATES

Key Officers & Management

Name Role Address
CATHE WALDE Governing Person PO BOX 530, CLALLAM BAY, WA, 98326, UNITED STATES
PATRICIA KUTSON Governing Person PO BOX 530, CLALLAM BAY, WA, 98326, UNITED STATES
PATRICE PORTER Governing Person PO BOX 530, CLALLAM BAY, WA, 98326, UNITED STATES
JEFFRY KOPIS Governing Person PO BOX 530, CLALLAM BAY, WA, 98326, UNITED STATES
CRYSTAL CORLISS Governing Person PO BOX 530, CLALLAM BAY, WA, 98326, UNITED STATES

National Provider Identifier

NPI Number:
1689858722
Certification Date:
2025-04-30

Authorized Person:

Name:
JAY D MATSEN
Role:
EMS BILLING SUPERVISOR
Phone:

Taxonomy:

Selected Taxonomy:
3416L0300X - Land Ambulance
Is Primary:
Yes

Contacts:

Fax:
3603947097
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