Organization
CITY OF CLE ELUM AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE ALLENBAUGH (CHIEF)
(509) 674-2262
Entity
Organization
Contact information
Practice address
301 N PENNSYLVANIA AVE, CLE ELUM, WA 98922-1159
(509) 674-2262
Mailing address
119 W 1ST ST, CLE ELUM, WA 98922-1105
(509) 674-2262
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
19M01
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00053969
RAILROAD MEDICARE
WA
01
—
0171103
WASHINGTON L&I
WA
05
—
9054479
—
WA
Enumeration date
09/28/2006
Last updated
08/22/2020
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