Organization

Tekoa Community Ambulance

Land Ambulance in Tekoa, WA(View on Map)

Legal Business Name

Tekoa Community Ambulance

NPI Number

1023214293

NPI Type

Organization

Enumeration Date

06/25/2007

Specialties

(Taxonomies)

Code

3416L0300X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

S. 226 RAMSEY ST.
S 226 RAMSEY STR.

City

Tekoa
Tekoa

State

WA
WA

Postal Code

99033-0597
99033-0597

Country

US
US

Telephone Number

N/A
(509) 284-2423

Authorized Official

Name

Mr. Dwayne Groom

Title or Position

PRESIDENT

Telephone Number

(509) 284-2246

Identifiers

Identifier

9257601

Identifier State

WA

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address