Healthcare Provider Details

I. General information

NPI: 1578481735
Provider Name (Legal Business Name): SCABLAND TRANSPORTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 PELICAN PL SE
MOSES LAKE WA
98837
US

IV. Provider business mailing address

601 S PIONEER WAY STE F PMB 258
MOSES LAKE WA
98837
US

V. Phone/Fax

Practice location:
  • Phone: 509-793-5104
  • Fax:
Mailing address:
  • Phone: 509-793-5104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE AMEZCUA
Title or Position: MEMBER/MANAGER/OWNER
Credential:
Phone: 509-793-5104