Organization Active NPI

Palouse Medical Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Moses Lake, WA
National Provider Identifier
1104744242
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PALOUSE MEDICAL TRANSPORT LLC
Practice address
10403 Dune Lake Loop SE
Moses Lake, WA 98837-9083
Phone
(509) 635-7433
NPI assigned
Jul 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stacie Pack
Title
Owner
Phone
(509) 635-7433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

10403 Dune Lake Loop SE
Moses Lake, WA 98837-9083

Mailing address

5951 Pullman Airport Rd
Pullman, WA 99163
Phone (509) 635-7433

National Provider Directory

National Provider Directory

Locations

5951 Pullman Airport Rd
Pullman, WA 99163

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1104744242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5951 PULLMAN AIRPORT RD",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "99163",
            "telephone_number": "509-635-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10403 DUNE LAKE LOOP SE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988379083",
            "telephone_number": "509-635-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOUSE MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "PACK",
        "authorized_official_first_name": "STACIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-635-7433"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.