Healthcare Provider Details

I. General information

NPI: 1366474785
Provider Name (Legal Business Name): COUNCIL ON AGING & HUMAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 S MAIN ST S 210 MAIN STREET
COLFAX WA
99111-1820
US

IV. Provider business mailing address

PO BOX 107 S 210 MAIN STREET
COLFAX WA
99111-0107
US

V. Phone/Fax

Practice location:
  • Phone: 509-397-2935
  • Fax: 509-397-9229
Mailing address:
  • Phone: 509-397-2935
  • Fax: 509-397-9229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number StateWA

VIII. Authorized Official

Name: MS. GAIL GRIGGS
Title or Position: TRANSPORTATION DIRECTOR
Credential:
Phone: 509-397-2935