Organization
LEWIS COUNTY FIRE PROTECTION DISTRICT 14
Active
Other names
RANDLE FIRE & EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PENNY OWENS (DISTRICT SECRETARY)
(360) 497-7745
Entity
Organization
Contact information
Practice address
9978 US HWY 12, RANDLE, WA 98377-0127
(360) 497-7745
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 394-7030
(360) 394-7097
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
21D14
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29939
L&I AND CRIME VICTIMS
WA
05
—
9187006
—
WA
01
—
LE9337
REGENCE
WA
01
—
WA00106
SUBMITTER NUMBER
WA
Enumeration date
09/29/2005
Last updated
05/16/2011
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