Lewis County Fire Protection District 1
Organization Active NPI Land Ambulance · Onalaska, WA
NPI 1891857322 · NPPES record last updated May 16, 2011
Key facts
- NPI
- 1891857322
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- LEWIS COUNTY FIRE PROTECTION DISTRICT 1
- Practice address
- 244 Carlisle Ave
Onalaska, WA 98570 - Phone
- (360) 978-4182
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Mark Andrew Conner
- Title
- Fire Chief
- Phone
- (360) 978-4182
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100804000103 | WA | Part B Supplier - Ambulance Service Supplier | 8729111257 | Practice locations: Onalaska, WA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | WA | Yes |
Addresses
Primary practice location
244 Carlisle Ave
Onalaska, WA 98570
Mailing address
PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7030
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008124 | Other | WA | L&I AND CRIME VICTIMS |
| 9036427 | Medicaid | WA |
Other names
- Onalaska Ambulance
Other providers in Onalaska, WA
- Stephany Luray Emerson
- Fresh Start LLC
- Kathleen Henry
- Mark R Leadbetter
- Lewis County Community Health Services
- Larry Meade
- Marina V Olsen
- Onalaska School District
- Jeri Parks
- Erik Steven Plantiko
All providers in Onalaska, WA · Land Ambulance in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.