Provider Demographics
NPI:1801941315
Name:CITY OF CAMAS
Entity type:Organization
Organization Name:CITY OF CAMAS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:SWINHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-834-2262
Mailing Address - Street 1:616 NE 4TH AVE
Mailing Address - Street 2:STE 1
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-2108
Mailing Address - Country:US
Mailing Address - Phone:360-834-2262
Mailing Address - Fax:360-834-8854
Practice Address - Street 1:616 NE 4TH AVE
Practice Address - Street 2:STE 1
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-2108
Practice Address - Country:US
Practice Address - Phone:360-834-2262
Practice Address - Fax:360-834-8854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA06M023416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0026983OtherLABOR & INDUSTRIES
WA822443000OtherREGENCE BLUE CROSS
WA9137902Medicaid
WA0026983OtherLABOR & INDUSTRIES