Organization
KALISPEL INDIAN COMMUNITY OF THE KALISPEL RESERVATION WASHINGTON
Active
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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