Organization
CENTRAL VALLEY AMBULANCE AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE KNIPPER (PATIENT ACCOUNTS)
(360) 856-7152
Entity
Organization
Contact information
Practice address
2015 HOSPITAL DR, UNIT A, SEDRO WOOLLEY, WA 98284-4327
(360) 856-7152
(360) 856-7187
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
29X07
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0252279
L&I-CRIME VICTIMS
WA
01
—
615137700
OWCP
WA
05
—
9063306
—
WA
01
—
P00774086
RAILROAD MEDICARE
WA
Enumeration date
07/29/2009
Last updated
06/22/2011
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