| NPI | 1326025677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE WICKSTROM Fire Chief 509-547-8341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic |
| Additional Taxonomies | 341600000X Ambulance (Licence: WA 601138641) |
| 341600000X Ambulance (Licence: WA 36D05) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2013-03-20 |