Organization
PEND OREILLE COUNTY FIRE PROTECTION DISTRICT 4
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS KNAACK (CHIEF)
(509) 447-2476
Entity
Organization
Contact information
Practice address
11 DALKENA ST, NEWPORT, WA 99156-9768
(509) 447-2476
(509) 447-5530
Mailing address
11 DALKENA ST, NEWPORT, WA 99156-9768
(509) 447-2476
(509) 447-5530
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
26D03
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
10/05/2017
Last updated
10/05/2017
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