Lewis County Fire District 10

Organization Active NPI Ambulance · Packwood, WA

NPI 1124200019 · NPPES record last updated Dec 3, 2007

Key facts

NPI
1124200019
Entity type
Organization (NPI type 2)
Primary specialty
Ambulance 341600000X
License
21D10 (WA)
Legal business name
LEWIS COUNTY FIRE DISTRICT 10
Practice address
12953 US Hwy 12
Packwood, WA 98361-0270
Phone
(360) 494-4123
Fax
(360) 494-2363
NPI assigned
Dec 3, 2007
Organization subpart
No

Authorized official

Name
Ms. Barbara Jean Wright
Title
District Secretary
Phone
(360) 494-4123

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Lewis County Fire District No10 (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 21D10 WA Yes

Addresses

Primary practice location

12953 US Hwy 12
Packwood, WA 98361-0270

Mailing address

PO Box 270
Packwood, WA 98361-0270
Phone (360) 494-4123

Other identifiers

IdentifierTypeStateIssuer
9010182MedicaidWA

Other providers in Packwood, WA

All providers in Packwood, WA · Ambulance in Washington

Sources for this page

Verify at the official NPI Registry.