LEWIS COUNTY FPD 4; NPI #1154468627

Contact Information

LEWIS COUNTY FPD 4

105 THIRD ST.
MORTON, WA 98356

Phone: 360-496-5183
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for LEWIS COUNTY FPD 4

NPI Number 1154468627

LBN Legal business name LEWIS COUNTY FPD 4

Authorized official MICHELLE HARBAUGH - (EMS CAPTAIN)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/31/2007

Last updated 11/09/2012 - About 14 years ago

Identifiers

WA	License #	21D04
WA	Medicaid	9021882
WA	Other	0250091	L&I AND CRIME VICTIMS
WA	Other	616061100	OWCP

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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