INTERLOCAL ORGANIZATION OF LC RURAL NPI 1689638553

NPI Information

NPI: 1689638553
Provider Name: INTERLOCAL ORGANIZATION OF LC RURAL
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
150 N 2ND ST
TOLEDO, WA
ZIP 98591
Phone: (360) 864-2366
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INTERLOCAL ORGANIZATION OF LC RURAL is a land transport ambulance in Toledo, WA. INTERLOCAL ORGANIZATION OF LC RURAL NPI is 1689638553. The provider is registered as an organization entity type.

The provider's business location address is:

150 N 2ND ST
TOLEDO, WA
ZIP 98591
Phone: (360) 864-2366

The provider's authorized official is Grant Wiltbank .
The authorized official title is Fire Chief and has the following contact phone number (360) 864-2366.

The enumeration date for this NPI number is 4/17/2006 and was last updated on 5/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	21D02	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	590011687	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON	RAILROAD MEDICARE
2	IN9964	OTHER	WASHINGTON	REGENCE
3	182534	MEDICAID	OREGON
4	9038480	MEDICAID	WASHINGTON
5	0235205	OTHER	WASHINGTON	L&I AND CRIME VICTIMS
6	G115000292	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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