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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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