Organization
CITY OF RAYMOND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA M MCGOUGH (BILLING CLERK)
(360) 942-4144
Entity
Organization
Contact information
Practice address
212 COMMERCIAL ST, RAYMOND, WA 98577-2415
(360) 942-4144
(360) 942-4139
Mailing address
212 COMMERCIAL ST, RAYMOND, WA 98577-2415
(360) 942-4144
(360) 942-4139
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
25M03
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9149303
—
WA
Enumeration date
01/26/2007
Last updated
01/20/2010
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