COWLITZ COUNTY FIRE DISTRICT 5; NPI #1568434348

Contact Information

COWLITZ COUNTY FIRE DISTRICT 5

382 NE FRONTAGE RD
KALAMA, WA 98625

Phone: 360-673-2222
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 COWLITZ COUNTY FIRE DISTRICT 5

NPI # 1568434348

LBN Legal business name COWLITZ COUNTY FIRE DISTRICT 5

Authorized official DEANN SHARP - (ADMINISTRATIVE SECRETARY)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/06/2006

Last updated 01/08/2024 - About 2 years ago

Identifiers

WA	License #	08D05
OR	Medicaid	275131
WA	Medicaid	1029744
WA	Other	0109943	L&I AND CRIME VICTIMS
WA	Other	615281300	OWCP
WA	Other	590014531	RAILROAD MEDICARE PTAN
WA	Other	KA3487	REGENCE

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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