Organization
WAITSBURG AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON MARIE BROOKS AEMT (DEPUTY CHIEF OF OPERATIONS)
(509) 337-6149
Entity
Organization
Contact information
Practice address
765 PRESTON AVE, WAITSBURG, WA 99361-7723
(509) 337-6149
(509) 337-6220
Mailing address
PO BOX 242, WAITSBURG, WA 99361-0242
(509) 337-6149
(509) 337-6220
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
36X03
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0166650
LABOR AND INDUSTRIES
WA
05
—
9053349
—
WA
Enumeration date
11/30/2005
Last updated
10/10/2012
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