Provider Demographics
NPI:1841878717
Name:CLARK-COWLITZ FIRE RESCUE
Entity type:Organization
Organization Name:CLARK-COWLITZ FIRE RESCUE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:NOHR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-887-4609
Mailing Address - Street 1:911 N 65TH AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:WA
Mailing Address - Zip Code:98642-7725
Mailing Address - Country:US
Mailing Address - Phone:360-887-4609
Mailing Address - Fax:360-887-0862
Practice Address - Street 1:911 N 65TH AVE
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:WA
Practice Address - Zip Code:98642-7725
Practice Address - Country:US
Practice Address - Phone:360-887-4609
Practice Address - Fax:360-887-0862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-31
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Multi-Specialty
No146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, IntermediateGroup - Multi-Specialty
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Multi-Specialty
No333300000XSuppliersEmergency Response System Companies