Organization
LEWIS COUNTY
Active
Organization
LEWIS COUNTY
Active
Parent organization
LEWIS COUNTY
Other names
Lewis County Fire 5
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEWIS COUNTY
Authorized official
MS. LINDA A WOLFE (DISTRICT SECRETARY-BILLING AGENT)
(360) 262-3320
Entity
Organization
Contact information
Practice address
129 2ND AVE, NAPAVINE, WA 98565
(360) 262-3320
(360) 262-3893
Mailing address
PO BOX 259, NAPAVINE, AL 98565-0259
(360) 262-3320
(360) 262-3893
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
21D05
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0075934
GROUND AMBULANCE SVCS
WA
01
—
8928994
GROUND AMBULANCE SVCS
WA
05
—
9039330
—
WA
Enumeration date
01/03/2007
Last updated
02/15/2008
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