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Organization

CITY OF PULLMAN

Active
Other names
CITY OF PULLMAN AMBULANCE
Organization subpart
No

Provider details

NPI number
Authorized official
JEFF ELBRACHT (DIRECTOR OF FINANCE)
(509) 338-3212
Entity
Organization

Contact information

Practice address
620 S GRAND AVE, PULLMAN, WA 99163-2135
(509) 332-8172
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(800) 238-9398
(360) 394-7097

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
38M10
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003314200
ID
01
1001033
ID STATE INS FUND
ID
01
243081400
US DEPT OF LABOR
WA
01
28606
L&I PROVIDER #
WA
01
5900046717
RAILROAD MEDICARE
WA
01
8911082
L&I CRIME VICTIMS
WA
05
9177908
WA
01
G000300230
MEDICARE PTAN
WA
Enumeration date
01/04/2007
Last updated
09/09/2025
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