Healthcare Provider Details

I. General information

NPI: 1043298102
Provider Name (Legal Business Name): COLUMBIA COUNTY FIRE DIST 3
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2006
Last Update Date: 01/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 W MAIN ST #2
DAYTON WA
99328-1230
US

IV. Provider business mailing address

PO BOX 3510
SILVERDALE WA
98383-3510
US

V. Phone/Fax

Practice location:
  • Phone: 509-382-4281
  • Fax: 509-382-2845
Mailing address:
  • Phone: 360-394-7030
  • Fax: 360-394-7097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number07D03
License Number StateWA

VIII. Authorized Official

Name: RICHARD TURNER
Title or Position: CHIEF
Credential:
Phone: 509-382-4281