Organization
GRANT COUNTY FIRE DISTRICT NO 10
Active
Other names
GRANT COUNTY FIRE DISTRICT # 10 AMBULANCE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN EVANS (FIRE CHIEF)
(509) 346-2658
Entity
Organization
Contact information
Practice address
336 CAMELIA ST NE, ROYAL CITY, WA 99357-0220
(509) 346-2658
(509) 346-2129
Mailing address
PO BOX 220, ROYAL CITY, WA 99357-0220
(509) 346-2658
(509) 346-2129
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
13D10
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84473
WASHINGTON L&I
WA
05
—
9163304
—
WA
Enumeration date
10/10/2006
Last updated
11/26/2013
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