Organization
CITY OF COQUILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ALLEN WADDINGTON (FIRE CHIEF)
(541) 396-2232
Entity
Organization
Contact information
Practice address
89 W 3RD ST, COQUILLE, OR 97423-1266
(541) 396-2232
(541) 824-0129
Mailing address
89 W 3RD ST, P.O. BOX 263, COQUILLE, OR 97423-1266
(541) 396-2232
(541) 824-0129
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0604
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029090
—
OR
Enumeration date
11/06/2006
Last updated
06/23/2008
Update your record
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