Organization
CHEWELAH AND RURAL AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEON J GREEN (MANAGER)
(509) 935-6814
Entity
Organization
Contact information
Practice address
215 W. MAIN, CHEWELAH, WA 99109
(509) 935-6814
(509) 935-6833
Mailing address
PO BOX 73, CHEWELAH, WA 99109-0073
(509) 935-6814
(509) 935-6833
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
33X02
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60152227
—
WA
Enumeration date
10/18/2006
Last updated
03/04/2010
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