Organization
STEVENS COUNTY
Active
Other names
Stevens County Sheriff's Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM D BUSCHER (OPERATIONS MANAGER)
(509) 684-8261
Entity
Organization
Contact information
Practice address
425 N HIGHWAY, COLVILLE, WA 99114-2139
(509) 684-8261
Mailing address
425 N HIGHWAY, COLVILLE, WA 99114-2139
(509) 684-8261
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
33X01
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029641
LABOR & INDUSTRIES
WA
05
—
9256900
—
WA
Enumeration date
01/23/2007
Last updated
09/21/2015
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