| Organization Name: | CITY OF GRAND COULEE |
| NPI Number: | 1801896873 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD PARIS (AMBULANCE DIRECTOR) |
| Mailing Address: | 306 Midway Avenue Grand Coulee |
| State: | WA US |
| Postal Code: | 991330180 |
| Phone Number: | 5096331150 |
| Fax Number: | 5096331370 |
| NPI Enumeration Date: | 07/29/2005 |
| NPI Last Update Date: | 03/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 13M05 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |