Organization
GRANT CTY FIRE PROTECCT DIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER HANSEN (FIRE CHIEF)
(509) 765-3175
Entity
Organization
Contact information
Practice address
11058 NELSON RD NE, MOSES LAKE, WA 98837-8812
(509) 765-3175
(509) 765-3550
Mailing address
PO BOX 526, WHEAT RIDGE, CO 80034-0526
(509) 765-3175
(509) 765-3550
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
13M18
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163229
DEPT OF LABOR & INDUSTRY
WA
05
—
9053257
—
WA
Enumeration date
05/19/2006
Last updated
11/10/2008
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