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Organization

PALOUSE MEDICAL TRANSPORT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACIE PACK (OWNER)
(509) 635-7433
Entity
Organization

Contact information

Practice address
10403 DUNE LAKE LOOP SE, MOSES LAKE, WA 98837-9083
(509) 635-7433
Mailing address
5951 PULLMAN AIRPORT RD, PULLMAN, WA 99163
(509) 635-7433

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
07/07/2026
Last updated
07/07/2026
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