Organization
GRANT COUNTY MEDIC ONE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORBIN MOBERG (PRESIDENT)
(509) 855-5497
Entity
Organization
Contact information
Practice address
9627 SUPERIOR CT NE, MOSES LAKE, WA 98837-8528
(509) 855-5497
(509) 765-2978
Mailing address
9627 SUPERIOR CT NE, MOSES LAKE, WA 98837-8528
(509) 855-5497
(509) 765-2978
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
AMB.ES.60130075
WA
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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