Organization
WILT'S EMERGENCY SERVICE AND TRANSPORT, INC.
Active
Other names
W.E.S.T. Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD M WILT OWNER (PRESIDENT)
(541) 673-0632
Entity
Organization
Contact information
Practice address
1290 NE CEDAR ST, ROSEBURG, OR 97470-2016
(541) 673-0632
(541) 672-7493
Mailing address
1290 NE CEDAR ST, ROSEBURG, OR 97470-2016
(541) 673-0632
(541) 672-7493
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3416L0300X
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0086637
STATE OF WA DEPT. OF LABO
WA
05
—
1073073
—
AR
05
—
2476888
—
OH
05
—
285353
—
OR
05
—
7347272
—
FL
05
—
9023862
—
WA
05
—
QAB128
—
SC
05
—
XMTE05630
—
CA
Enumeration date
11/27/2006
Last updated
08/22/2020
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