Organization
KALISPEL INDIAN COMMUNITY OF THE KALISPEL RESERVATION WASHINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN HOLMES (DIRECTOR)
(509) 445-1147
Entity
Organization
Contact information
Practice address
1981 N LECLERC, USK, WA 99180
(509) 447-7299
Mailing address
PO BOX 39, USK, WA 99180-0039
(509) 447-7299
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
26X04
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26X04
WA DEPT OF HEALTH
WA
Enumeration date
05/01/2018
Last updated
04/03/2024
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