Organization
LEWIS COUNTY FPD #6
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK WIRTA (FIRE CHIEF)
(360) 748-6019
Entity
Organization
Contact information
Practice address
2123 JACKSON HWY, CHEHALIS, WA 98532-4409
(360) 748-6019
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 613-1627
(360) 698-4968
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
21D06
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0190807
LABOR & INDUSTRIES
WA
01
—
8933240
CRIME VICTIMS
WA
05
—
9053042
—
WA
01
—
LE6543
REGENCE
WA
Enumeration date
02/02/2006
Last updated
08/22/2020
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