Provider Demographics
NPI:1225631674
Name:DOUGLAS COUNTY FIRE PROTECTION
Entity Type:Organization
Organization Name:DOUGLAS COUNTY FIRE PROTECTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:I
Authorized Official - Last Name:CAILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-683-1114
Mailing Address - Street 1:PO BOX 326
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:WA
Mailing Address - Zip Code:98830-0326
Mailing Address - Country:US
Mailing Address - Phone:509-683-1114
Mailing Address - Fax:509-683-1114
Practice Address - Street 1:138 MAIN STREEET
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:WA
Practice Address - Zip Code:98830-0326
Practice Address - Country:US
Practice Address - Phone:509-683-1114
Practice Address - Fax:509-683-1114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport