OrganizationActive
Grant County Fire District No
NPI 1366420341 · Emergency Medical Services (Emergency Medicine) Physician · Moses Lake, WA
Provider details
- NPI number
- 1366420341
- Entity type
- Organization
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Roger Hansen, Fire Chief
- License
- 13D05 (WA)
Practice location
11058 Nelson Road Ne
Moses Lake, WA 98837-8812
Phone: (509) 765-3175
Fax: (509) 765-3550
Mailing address
4251 Kipling Street
Wheatridge, CO 80033
Registry dates
- Enumerated
- 2006-01-09
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.