Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider |
| NPI Number | 1053800417 |
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| LBN Legal business name | KALISPEL INDIAN COMMUNITY OF THE KALISPEL RESERVATION WASHINGTON | ||||||||
| Authorized official | DARREN HOLMES - (DIRECTOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 05/01/2018 | ||||||||
| Last updated | 04/03/2024 - About 2 years ago | ||||||||
| Identifiers |
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