Organization
CITY OF GRAND COULEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD PARIS EMT (AMBULANCE DIRECTOR)
(509) 633-1150
Entity
Organization
Contact information
Practice address
306 MIDWAY AVENUE, GRAND COULEE, WA 99133-0180
(509) 633-1150
(509) 633-1370
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 394-7030
(360) 394-7097
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
13M05
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0028478
L&I-CRIME VICTIMS
WA
05
—
9114505
—
WA
Enumeration date
07/29/2005
Last updated
03/01/2012
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