Organization
CITY OF KENNEWICK
Active
Other names
City of Kennewick Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNNE C BROWN (ACCOUNTING SUPERVISOR)
(509) 585-4263
Entity
Organization
Contact information
Practice address
210 W 6TH AVE, KENNEWICK, WA 99336-5649
(509) 585-4379
(505) 585-4254
Mailing address
PO BOX 6108, 210 W 6TH AVE, KENNEWICK, WA 99336-5649
(509) 585-4379
(509) 585-4254
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
03M02
WA
3416L0300X
Land Ambulance
03M02
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103705
—
OR
01
—
16689
LABOR & INDUSTRIES
WA
01
—
590004614
RAILROAD MEDICARE
WA
05
—
6153602
—
WA
01
—
8906318
CRIME VICTIMS
WA
05
—
9153602
—
WA
Enumeration date
09/16/2005
Last updated
11/07/2012
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