Provider Demographics
NPI:1851669402
Name:TOWN OF CATHLAMET
Entity Type:Organization
Organization Name:TOWN OF CATHLAMET
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MAYOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEHRFRTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-795-3203
Mailing Address - Street 1:PO BOX 68
Mailing Address - Street 2:
Mailing Address - City:CATHLAMET
Mailing Address - State:WA
Mailing Address - Zip Code:98612-0068
Mailing Address - Country:US
Mailing Address - Phone:360-795-3732
Mailing Address - Fax:360-795-8500
Practice Address - Street 1:255 2ND 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:360-795-8065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA35M01341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance