Organization
LEWIS COUNTY
Active
Parent organization
LEWIS COUNTY
Other names
Salkum Ambulance
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEWIS COUNTY
Authorized official
MS. LINDA A. WOLFE (BILLING AGENT)
(360) 262-3320
Entity
Organization
Contact information
Practice address
2490 U.S. HWY 12, SALKUM, WA 98582
(360) 985-2828
(360) 985-7475
Mailing address
PO BOX 259, NAPAVINE, WA 98565-0259
(360) 262-3320
(360) 262-3893
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
21D08
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9140807
—
WA
Enumeration date
01/31/2007
Last updated
02/12/2008
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