| Organization Name: | LEWIS COUNTY FPD 4 |
| NPI Number: | 1154468627 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE L HARBAUGH (EMS CAPTAIN) |
| Mailing Address: | 105 Third St. Morton |
| State: | WA US |
| Postal Code: | 98356 |
| Phone Number: | 3604965183 |
| Fax Number: | |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 11/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 21D04 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |