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Contact Information

INTERLOCAL ORGANIZATION OF LC RURAL
150 N 2ND ST
TOLEDO, WA98591
 Phone: 360-864-2366
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Land Transport

3416L0300X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for INTERLOCAL ORGANIZATION OF LC RURAL

NPI # 1689638553
LBN Legal business name INTERLOCAL ORGANIZATION OF LC RURAL
Authorized official GRANT WILTBANK - (FIRE CHIEF)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2006
Last updated 05/16/2011 - About 15 years ago
Identifiers
WA License # 21D02
OR Medicaid 182534
WA Medicaid 9038480
WA Other 0235205 L&I AND CRIME VICTIMS
WA Other IN9964 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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