# WILT'S EMERGENCY SERVICE AND TRANSPORT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** W.E.S.T. Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598831273
- **Authorized official:** MR. RICHARD M WILT OWNER (PRESIDENT)
- **Authorized official phone:** (541) 673-0632

## Contact information

- **Practice address:** 1290 NE CEDAR ST, ROSEBURG, OR 97470-2016
- **Practice address phone:** (541) 673-0632
- **Practice address fax:** (541) 672-7493
- **Mailing address:** 1290 NE CEDAR ST, ROSEBURG, OR 97470-2016
- **Mailing address phone:** (541) 673-0632
- **Mailing address fax:** (541) 672-7493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 3416L0300X | OR | Yes |

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 08/22/2020

## 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 |