Provider Demographics
NPI:1487846341
Name:CATHLAMET FIRE DEPT FIRST AID DIVISION
Entity Type:Organization
Organization Name:CATHLAMET FIRE DEPT FIRST AID DIVISION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:FAUBION
Authorized Official - Suffix:
Authorized Official - Credentials:ASSISTANT CHIEF
Authorized Official - Phone:360-795-3367
Mailing Address - Street 1:PO BOX 142
Mailing Address - Street 2:
Mailing Address - City:CATHLAMET
Mailing Address - State:WA
Mailing Address - Zip Code:98612
Mailing Address - Country:US
Mailing Address - Phone:360-795-3367
Mailing Address - Fax:360-795-6003
Practice Address - Street 1:100 MAIN STREET
Practice Address - Street 2:
Practice Address - City:CATHLAMET
Practice Address - State:WA
Practice Address - Zip Code:98612
Practice Address - Country:US
Practice Address - Phone:360-795-3367
Practice Address - Fax:360-795-6003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA35M013416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport