| Organization Name: | PEND OREILLE FIRE 2 |
| NPI Number: | 1720085269 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN RUMELHART (ADMINISTRATIVE ASSISTANT) |
| Mailing Address: | 390442 Sr 20 Cusick |
| State: | WA US |
| Postal Code: | 99119 |
| Phone Number: | 5094422311 |
| Fax Number: | 5094422333 |
| NPI Enumeration Date: | 06/30/2005 |
| NPI Last Update Date: | 06/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 26D02 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |