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Cowlitz 2 Fire & Rescue Emergency Medical Services

We are a fully licensed ALS Transport Agency (advanced life support- trauma verified with WA Dept. of Health). Our career personnel use two full time ALS ambulances staffed with paramedics and EMTs. There are three back up ambulances available to be used by additional career staff and volunteer paramedics and EMTs.

Our ambulances are equipped with state of the art equipment and our personnel are trained on the most current pre-hospital medical protocols. EMS responses account for approximately 80% of the response activity by Cowlitz 2 Fire & Rescue.

Patient Records

Cowlitz 2 Fire & Rescue takes the security of your medical records and private information seriously. It is our business to ensure that your protected health information is maintained responsibly.

Medical records are not public information (as fire reports are), even though Cowlitz 2 Fire & Rescue is a public entity. Patient information is protected by the Health Insurance Portability and Accoutability Act (HIPAA). Our HIPAA Privacy Officer is Deputy Chief Becky Ribelin.

To obtain a copy of your medical record, you must request it at our Headquarters Station at 701 Vine St in Kelso, WA. You will be required to complete a Release of Medical Information Form and show picture identification. You may only request your own medical record, the medical record of someone for whom you are power of attorney or legal guardian, or of a deceased immediate family member.

EMS Billing

If you have questions about a bill you recieved for EMS transport, please contact our billing company,
EF Recovery at (877) 213-9047.

Medical Director

All pre-hospital personnel are required to work under the protocols of an oversight physician. Most often, that physician oversees personnel in a whole county. The Medical Program Director (MPD) for Cowlitz County is Dr. Marc Kranz. Dr. Kranz currently works in the Emergency Department of the local hospital, St. John Medical Center. He is Board Certified in Emergency Medicine.

St. John Medical Center Emergency Department is designated as Cowlitz County's "Medical Control" for clarification of orders, patient dispositions, cases of disparity between pre-hospital guidelines and other physician wishes, medical and controlled substance information and direction and other extraordinary situations that may arise during patient care. Telephone contact may be established with any physician working in the Emergency Department at that time. This form of direction is referred to as "on-line medical control".

The MPD meets twice a month with paramedics in Cowlitz County to review cases and to present an education topic. The MPD also conducts a surgical skills lab annually for paramedic and EMT-IV technician participation.

Dr. Kranz has an assistant to process paperwork, set up continuing education and clarify issues between EMS personnel. His assistant is Ron Stewart, EMT-P.

To Contact the MPD's Office:

Cowlitz County Medical Program Director
105 D 15th Ave #411
Longview WA 98632
360.414.7569 (phone)
360.414.7834 (fax)