Organization
CITY OF CASTLE ROCK
Active
Other names
Castle Rock Fire & EMS
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC KOREIS (CHIEF)
(360) 274-4413
Entity
Organization
Contact information
Practice address
146 A STREET SW, CASTLE ROCK, WA 98611
(360) 274-4413
Mailing address
PO BOX 370, CASTLE ROCK, WA 98611-0370
(360) 274-4413
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
08M01
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029775
LABOR & INDUSTRIES
WA
05
—
158293
—
OR
01
—
337443500
FEDERAL OWCP
WA
01
—
8905072
CRIME VICTIMS
WA
05
—
9158809
—
WA
01
—
CA0852
REGENCE
WA
Enumeration date
03/08/2006
Last updated
10/08/2010
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