Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider | |
Emergency Medical Technician, Basic |
146N00000X | |||
Emergency Medical Technician, Intermediate |
146M00000X | |||
Emergency Medical Technician, Paramedic |
146L00000X | |||
Emergency Response System Companies |
333300000X | A5 | All Other Suppliers |
| NPI # | 1841878717 |
| LBN Legal business name | CLARK-COWLITZ FIRE RESCUE |
| Authorized official | JOHN NOHR - (FIRE CHIEF) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/31/2021 |
| Last updated | 04/22/2025 - More than a year ago |
| Identifiers | n/a |
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CLARK-COWLITZ FIRE RESCUE
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| COWLITZ COUNTY FIRE DISTRICT 5 382 NE FRONTAGE RD KALAMA, WA |
| BRITA M HANSON 301 N BROADWAY ST ABERDEEN, WA |
| STEPHEN P MONTOURE, CDPT 224 E WISHKAH ST ABERDEEN, WA |
| ALEXA MAHAN 18311 BOTHELL-EVERETT HIGHWAY 98012, BOTHELL, WA, WA |
| JAMIE K MCINTYRE, LMT 410 E NORTH BEND WAY 98045, WA |
| JAVON J WILSON, BT 18311 BOTHELL-EVERETT HIGHWAY 98012, BOTHELL, WA, WA |