Organization
NORTH COUNTRY EMERGENCY MEDICAL SERVICES
Active
Organization
NORTH COUNTRY EMERGENCY MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM PITTS (ADMINISTRATIVE ASSISTANT)
(360) 686-3271
Entity
Organization
Contact information
Practice address
300 W HOAG ST, YACOLT, WA 98675-5604
(360) 686-3271
Mailing address
PO BOX 189, YACOLT, WA 98675-0299
(360) 686-3271
(360) 686-8127
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
601009935
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166025
OMAP
OR
01
—
27228
DEPT OF LABOR & INDUSTRIE
WA
05
—
9063603
—
WA
01
—
911357973
REGENCE BC/BS
OR
Enumeration date
05/24/2005
Last updated
01/09/2018
Update your record
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