Organization
RIVERSIDE FIRE AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL STEVEN KYTTA (FIRE CHIEF)
(360) 736-3975
Entity
Organization
Contact information
Practice address
1818 HARRISON AVE, CENTRALIA, WA 98531-1905
(360) 736-3975
(360) 330-5573
Mailing address
1818 HARRISON AVE, CENTRALIA, WA 98531-1905
(360) 736-3975
(360) 330-5573
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601138655
BUSINESS LICENSE
WA
Enumeration date
12/03/2018
Last updated
12/03/2018
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