Organization
WHITMAN COUNTY FIRE DISTRICT 12
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRENDA L STENBAKKEN (EMS CHIEF)
(509) 334-1715
Entity
Organization
Contact information
Practice address
912 W MAIN ST, PULLMAN, WA 99163-2906
(509) 334-1715
(509) 332-2462
Mailing address
912 W MAIN ST, PULLMAN, WA 99163-2906
(509) 334-1715
(509) 332-2462
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
38D12
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38D12
AMBULANCE LICENSE
WA
Enumeration date
09/05/2018
Last updated
09/05/2018
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