Organization
SKAMANIA COUNTY HOSPITAL DISTRICT
Active
Other names
Skamania County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK NICHOLSON (CHIEF)
(509) 427-5065
Entity
Organization
Contact information
Practice address
253 SW 1ST ST, STEVENSON, WA 98648-6649
(509) 427-5065
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
30X01
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029165
L&I AND CRIME VICTIMS
WA
05
—
1020839
—
WA
05
—
185074
—
OR
01
—
191639800
OWCP-FECA AND ENERGY
WA
01
—
P00215101
RAILROAD MEDICARE
WA
Enumeration date
07/14/2005
Last updated
12/28/2015
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