Organization
COUNTY OF GRANT
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 NW, ROYAL CITY, WA 99357
(509) 346-2658
(509) 346-2129
Mailing address
PO BOX 1770, REDMOND, OR 97756-0519
(509) 346-2658
(509) 346-2129
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
13D10
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9163304
—
WA
Enumeration date
03/25/2009
Last updated
11/09/2009
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