Organization
LINCOLN COUNTY FIRE PROTECTION FIRE SERVICE & AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLETTA HOFFMAN (DISTRICT SECRETARY)
(509) 257-2926
Entity
Organization
Contact information
Practice address
124 OLD AIRPORT RD, SPRAGUE, WA 99032-4904
(509) 257-2926
(509) 257-2865
Mailing address
124 OLD AIRPORT RD, SPRAGUE, WA 99032-4904
(509) 257-2926
(509) 257-2865
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
22D01
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01057710
RAILROAD MEDICARE PTAN
WA
01
—
0211220
L&I AND CRIMEVICTIMS
WA
05
—
1028321
—
WA
Enumeration date
05/17/2007
Last updated
11/27/2013
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