Organization
COWLITZ 2 FIRE & RESCUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE LAFAVE (FIRE CHIEF)
(360) 575-6298
Entity
Organization
Contact information
Practice address
701 VINE ST, KELSO, WA 98626-2621
(360) 575-6298
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 613-1627
(360) 698-4968
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
08D02
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015545
LABOR & INDUSTRIES
WA
01
—
337344100
FEDERAL OWCP
WA
05
—
9018466
—
WA
01
—
CO3487
REGENCE
WA
Enumeration date
02/14/2006
Last updated
01/07/2010
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