Organization
EAGLE VALLEY AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY GRAVEN (TREASURER)
(541) 403-2604
Entity
Organization
Contact information
Practice address
42000 MOODY RD, RICHLAND, OR 97870-6601
(541) 239-8349
Mailing address
PO BOX 334, RICHLAND, OR 97870
(541) 403-2604
(541) 523-0370
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222216
—
OR
Enumeration date
08/06/2007
Last updated
08/15/2024
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