Provider Demographics
NPI:1043298102
Name:COLUMBIA COUNTY FIRE DIST 3
Entity type:Organization
Organization Name:COLUMBIA COUNTY FIRE DIST 3
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-382-4281
Mailing Address - Street 1:PO BOX 3510
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-3510
Mailing Address - Country:US
Mailing Address - Phone:360-394-7030
Mailing Address - Fax:360-394-7097
Practice Address - Street 1:206 W MAIN ST
Practice Address - Street 2:#2
Practice Address - City:DAYTON
Practice Address - State:WA
Practice Address - Zip Code:99328-1230
Practice Address - Country:US
Practice Address - Phone:509-382-4281
Practice Address - Fax:509-382-2845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-08
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA07D033416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8376COOtherREGENCE
WA9056771Medicaid
WA0143925OtherL&I AND CRIME VICTIMS
ID807654000Medicaid
WAP00242339OtherRAILROAD MEDICARE
WA9056771Medicaid