# GRANT COUNTY FIRE DISTRICT NO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366420341
- **Authorized official:** ROGER HANSEN (FIRE CHIEF)
- **Authorized official phone:** (509) 765-3175

## Contact information

- **Practice address:** 11058 NELSON ROAD NE, MOSES LAKE, WA 98837-8812
- **Practice address phone:** (509) 765-3175
- **Practice address fax:** (509) 765-3550
- **Mailing address:** 4251 KIPLING STREET, SUITE 200, WHEATRIDGE, CO 80033
- **Mailing address phone:** (303) 329-9044
- **Mailing address fax:** (303) 336-3166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 13M18 | WA | Yes |
| 341600000X | Ambulance | 13D05 | WA | — |

## Other

- **Enumeration date:** 01/09/2006
- **Last updated:** 09/11/2025
