NPI 1508853193

Lewis County Fire Protection District 14

Organisation Land Ambulance Randle, WA

Practice location

Address: 9978 US Hwy 12, Randle, WA 98377-0127
Phone: (360) 497-7745
Mailing address: PO Box 3510, Silverdale, WA 98383-3510

Authorised official

Name: Penny Owens
Title: District Secretary
Phone: (360) 497-7745

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 21D14 (WA)

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Registry record

NPI: 1508853193
Entity type: Organization
NPI issued: 29 Sep 2005
Record last updated: 16 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.