GRANT COUNTY MEDIC ONE, INC; NPI #1700116795

Contact Information

GRANT COUNTY MEDIC ONE, INC

9627 SUPERIOR CT NE
MOSES LAKE, WA 98837-8528

Phone: 509-855-5497
Fax: 509-765-2978
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for GRANT COUNTY MEDIC ONE, INC

NPI Number 1700116795

LBN Legal business name GRANT COUNTY MEDIC ONE, INC

Authorized official CORBIN MOBERG - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/13/2010

Last updated 01/13/2010 - About 16 years ago

Identifiers

License #

AMB.ES.60130075

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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