Provider Demographics
NPI:1346021615
Name:CITY OF CHEHALIS
Entity Type:Organization
Organization Name:CITY OF CHEHALIS
Other - Org Name:CHEHALIS FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:FULBRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-345-4239
Mailing Address - Street 1:500 NW SITKA ST
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-8106
Mailing Address - Country:US
Mailing Address - Phone:360-345-4239
Mailing Address - Fax:
Practice Address - Street 1:500 NW SITKA ST
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-8106
Practice Address - Country:US
Practice Address - Phone:360-345-4239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-11
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance