Organization
CITY OF MOSES LAKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS H TAYLOR (FIRE CHIEF)
(509) 765-2204
Entity
Organization
Contact information
Practice address
701 E 3RD AVE, MOSES LAKE, WA 98837-5904
(509) 765-2204
(509) 765-2291
Mailing address
PO BOX 1579, MOSES LAKE, WA 98837-0244
(509) 765-2204
(509) 765-2291
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
13MO8
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9051855
—
WA
Enumeration date
06/16/2005
Last updated
07/12/2010
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