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Organization
GRANT COUNTY FIRE DISTRICT NO
Active
Organization
GRANT COUNTY FIRE DISTRICT NO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER HANSEN (FIRE CHIEF)
(509) 765-3175
Entity
Organization
Contact information
Practice address
11058 NELSON ROAD NE, MOSES LAKE, WA 98837-8812
(509) 765-3175
(509) 765-3550
Mailing address
4251 KIPLING STREET, SUITE 200, WHEATRIDGE, CO 80033
(303) 329-9044
(303) 336-3166
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
13M18
WA
341600000X
Ambulance
13D05
WA
Other
Enumeration date
01/09/2006
Last updated
09/11/2025
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