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Organization
WILT'S EMERGENCY SERVICE AND TRANSPORT, INC.
Active
Organization
WILT'S EMERGENCY SERVICE AND TRANSPORT, INC.
Active
Other names
W.E.S.T. Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD M WILT OWNER (PRESIDENT)
(541) 673-0632
Entity
Organization
Contact information
Practice address
1290 NE CEDAR ST, ROSEBURG, OR 97470-2016
(541) 673-0632
(541) 672-7493
Mailing address
1290 NE CEDAR ST, ROSEBURG, OR 97470-2016
(541) 673-0632
(541) 672-7493
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3416L0300X
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0086637
STATE OF WA DEPT. OF LABO
WA
05
—
1073073
—
AR
05
—
2476888
—
OH
05
—
285353
—
OR
05
—
7347272
—
FL
05
—
9023862
—
WA
05
—
QAB128
—
SC
05
—
XMTE05630
—
CA
Enumeration date
11/27/2006
Last updated
08/22/2020
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