Provider Demographics
NPI:1073376299
Name:LEWIS COUNTY FIRE PROTECTION DISTRICT 14
Entity Type:Organization
Organization Name:LEWIS COUNTY FIRE PROTECTION DISTRICT 14
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:LAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-497-2313
Mailing Address - Street 1:PO BOX 127
Mailing Address - Street 2:
Mailing Address - City:RANDLE
Mailing Address - State:WA
Mailing Address - Zip Code:98377-0127
Mailing Address - Country:US
Mailing Address - Phone:360-497-7745
Mailing Address - Fax:
Practice Address - Street 1:9978 US HIGHWAY 12
Practice Address - Street 2:
Practice Address - City:RANDLE
Practice Address - State:WA
Practice Address - Zip Code:98377-9233
Practice Address - Country:US
Practice Address - Phone:360-497-7745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport