County of Grant

Primary specialty

AmbulanceTaxonomy code 341600000X

License

13D10 Issued in WA

Legal business name

COUNTY OF GRANT

Practice address

336 Camelia St NW
Royal City, WA 99357

Phone

(509) 346-2658

Fax

(509) 346-2129

NPI assigned

Mar 25, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Brian Evans

Title

Fire Chief

Phone

(509) 346-2658

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GRANT COUNTY FIRE DISTRICT # 10 AMBULANCE Doing business as

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1740422666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1770",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977560519",
            "telephone_number": "509-346-2658",
            "fax_number": "509-346-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 CAMELIA ST NW",
            "city": "ROYAL CITY",
            "state": "WA",
            "postal_code": "99357",
            "telephone_number": "509-346-2658",
            "fax_number": "509-346-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF GRANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "509-346-2658",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WA",
            "license": "13D10",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9163304",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRANT COUNTY FIRE DISTRICT # 10 AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Washington Health Services Assocation
• Central Washington Health Services Association
• John P Clark, PAC
• Clinic at Royal City
• Columbia Basin Health Association
• Bruce R Douglas, PA
• Alisha Eilers, MA-CCC-SLP
• Angelica Sofia Gonzalez S
• Grant County Fire District No 10
• Elaine Prest, R.N.

• All providers in Royal City, WA
• Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.