Organization
LEWIS COUNTY FIRE DISTRICT 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE WALLACE (BUSINESS MANAGER)
(360) 864-2366
Entity
Organization
Contact information
Practice address
150 N SECOND ST, TOLEDO, WA 98591
(360) 864-2366
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 394-7010
(360) 394-7099
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
21D02
WA
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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