Healthcare Provider Details

I. General information

NPI: 1215901129
Provider Name (Legal Business Name): CITY OF RICHLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 GEORGE WASHINGTON WAY ATTN AMBULANCE BILLING
RICHLAND WA
99352
US

IV. Provider business mailing address

1000 GEORGE WASHINGTON WAY ATTN AMBULANCE BILLING
RICHLAND WA
99352
US

V. Phone/Fax

Practice location:
  • Phone: 509-942-7560
  • Fax: 509-942-7575
Mailing address:
  • Phone: 509-942-7560
  • Fax: 509-942-7575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number03M04
License Number StateWA

VIII. Authorized Official

Name: MR. R GRAND BAYNES
Title or Position: DIRECTOR FIRE CHIEF
Credential:
Phone: 509-942-7553