Organization · Type 2 NPI
Grant County Fire District No
Emergency Medical Services (Emergency Medicine) Physician · Moses Lake, WA
Practice location
11058 Nelson Road NE
Moses Lake, WA 98837-8812
Fax (509) 765-3550
Mailing address
4251 Kipling Street, Suite 200
Wheatridge, CO 80033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician Primary | 207PE0004X | 13M18 (WA) |
| Ambulance | 341600000X | 13D05 (WA) |
Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
About NPI 1366420341
Grant County Fire District No's National Provider Identifier is 1366420341, issued on Jan 9, 2006. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Moses Lake, WA. The record was last updated on Sep 11, 2025.