GRANT COUNTY MEDIC ONE, INC (NPI# 1700116795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700116795 |
| Entity Type | Organization |
| Organization Name | GRANT COUNTY MEDIC ONE, INC |
| Practice Address |
9627 Superior Ct Ne Moses Lake WA 98837-8528 |
| Practice Telephone | 5098555497 |
| Practice Fax Number | 5097652978 |
| Mailing Telephone | 5098555497 |
| Mailing Fax Number | 5097652978 |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2010-01-13 |
| Authorized Official Name | MR. CORBIN MOBERG (PRESIDENT) |
| Authorized Official Telephone | 5098555497 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | AMB.ES.60130075 | WA | Transportation Services |
| Street Address |
9627 SUPERIOR CT NE |
| City | MOSES LAKE |
| State | WA |
| Zip Code | 98837-8528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316447097 | Lateef Ajani Olaniyan | Pharmacist | 2709 W Broadway Avenue, Southgate Pharmacy, Moses Lake, WA 98837 | 2018-02-19 |
| 1982117651 | Amanda M Cross | Massage Therapist | 2200 S. Maiers Rd., Suite B, Moses Lake, WA 98837 | 2017-11-15 |
| 1962928200 | E & H Holdings, LLC | Family Medicine | 708 E Penn St, Moses Lake, WA 98837 | 2017-08-18 |
| 1912366881 | Tara L Zamarron | Nurse Practitioner | 1550 S. Pioneer Way, Samaritan Family Physicians, Moses Lake, WA 98837 | 2016-02-19 |
| 1124401732 | Christian Mmadibuobu Okafor | Dentist | 605 South Coolidge Street, Moses Lake Community Health Center, Moses Lake, WA 98837 | 2015-06-30 |
| 1790182004 | Tari Ann Devaney | Dental Hygienist | 605 Coolidge Drive, Moses Lake, WA 98837 | 2014-12-02 |
| 1356746150 | Anna Marie Peterson | Counselor | 814 S. Wilder St., Moses Lake, WA 98837 | 2014-10-23 |
| 1699119495 | Geoffrey T. Ping D.d.s. and Asia Dela Cruz D.d.s. Pllc | Dentist | 800 N. Stratford Rd., Moses Lake, WA 98837 | 2013-04-23 |
| 1831433325 | George Kenyon Exeter | Physical Therapy Assistant | 817 E Plum Ave, Moses Lake, WA 98837 | 2012-11-21 |
| 1114219698 | Sound Oxygen Service Inc | Durable Medical Equipment & Medical Supplies | 1010 S Pioneer Way Ste C, Moses Lake, WA 98837 | 2011-05-03 |
| Find all providers in zip 98837 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518910421 | Grant Cty Fire Protecct Dist | Ambulance | 11058 Nelson Rd Ne, Moses Lake, WA 98837-8812 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720698483 | Asotin County Fire Protection # 1 | Ambulance | 2314 Appleside Blvd, Clarkston, WA 99403-1344 | 2020-08-06 |
| 1720600406 | Whatcom County | Ambulance | 2036 Valley Hwy # 9, Acme, WA 98220-9640 | 2020-05-15 |
| 1205301074 | Mason County Fire Protection District No 16 | Ambulance | 4650 W Dayton Airport Rd, Shelton, WA 98584-8093 | 2018-10-09 |
| 1487141313 | Oasis of Hope | Ambulance | 6409 88th Street Ct Sw Apt 5, Lakewood, WA 98499-2694 | 2018-04-17 |
| 1902304108 | Spokane County Fire District 4 | Ambulance | 3219 E Chattaroy Rd, Chattaroy, WA 99003-8834 | 2018-01-23 |
| 1548790421 | Lincoln County Fire Protection District No 8 | Ambulance | 11 N 2nd, Almira, WA 99103 | 2017-06-14 |
| 1912357344 | Walla Walla County Fire District 4 | Ambulance | 2251 Howard St, Walla Walla, WA 99362-4554 | 2016-06-16 |
| 1134595598 | Coastal Transport LLC | Ambulance | 117 S Maple St, Aberdeen, WA 98520-4563 | 2015-08-19 |
| 1851669402 | Town of Cathlamet | Ambulance | 255 2nd Street, Cathlamet, WA 98612 | 2011-12-12 |
| 1770817553 | Naselle Volunteer Fire Department, Inc. | Ambulance | 5 County Shed Road, Naselle, WA 98638-0054 | 2009-09-25 |
| Find all providers with the same taxonomy | ||||
| City | MOSES LAKE |
| Zip Code | 98837 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.