Organization
CITY OF PULLMAN
Active
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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