| NPI | 1467488577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY L BLACK Billing Manager 360-683-3350 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: WA 05X03) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2019-01-30 |