Organization
PEND OREILLE FIRE 2
Active
Organization
PEND OREILLE FIRE 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RUMELHART (ADMINISTRATIVE ASSISTANT)
(509) 442-2311
Entity
Organization
Contact information
Practice address
390442 SR 20, CUSICK, WA 99119
(509) 442-2311
(509) 442-2333
Mailing address
PO BOX 435, METALINE FALLS, WA 99153-0435
(509) 442-2311
(509) 442-2333
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
26D02
WA
Other
Enumeration date
06/30/2005
Last updated
06/12/2012
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