Organization
SPOKANE TRIBE OF INDIANS
Active
Other names
SPOKANE TRIBAL EMERGENCY RESPONSE
Organization subpart
No
Provider details
NPI number
Authorized official
SARA LARSON (ADMIN ASST)
(509) 625-3515
Entity
Organization
Contact information
Practice address
6203 FORD WELLPINIT RD, WELLPINIT, WA 99040-9700
(509) 625-3515
Mailing address
PO BOX 641880, OMAHA, NE 68164-7880
(402) 572-4019
(402) 991-0719
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
AMBV.ES.00000735
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2043274
—
WA
Enumeration date
03/04/2014
Last updated
12/06/2016
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