Organization Name: | KLICKITAT COUNTY EMERGENCY MEDICAL SERVICES DISTRICT NO 1 |
NPI Number: | 1366873044 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LESLIE HIEBERT (CEO) |
Mailing Address: | 310 S Roosevelt Ave Goldendale |
State: | WA US |
Postal Code: | 986209201 |
Phone Number: | 5097734022 |
Fax Number: | 5097731941 |
NPI Enumeration Date: | 12/06/2013 |
NPI Last Update Date: | 12/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |