Provider Demographics
NPI:1396296406
Name:LAKE CHINOOK FIRE & RESCUE
Entity type:Organization
Organization Name:LAKE CHINOOK FIRE & RESCUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:COLFELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-629-8911
Mailing Address - Street 1:11700 SW GRAHAM RD
Mailing Address - Street 2:
Mailing Address - City:CULVER
Mailing Address - State:OR
Mailing Address - Zip Code:97734
Mailing Address - Country:US
Mailing Address - Phone:541-629-8911
Mailing Address - Fax:
Practice Address - Street 1:11700 SW GRAHAM RD
Practice Address - Street 2:
Practice Address - City:CULVER
Practice Address - State:OR
Practice Address - Zip Code:97734
Practice Address - Country:US
Practice Address - Phone:541-629-8911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-24
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance