institution
Groom Enterprises
Land Ambulance in Newport, Washington
NPI 1790851293

Groom Enterprises is a Land Ambulance based in Newport, WA and is specialized in Land Transport. Groom Enterprises practices in Newport, WA. The NPI Number for Groom Enterprises is 1790851293 and holds a License No. 26X02 (Washington).

The current practice location address for Groom Enterprises is 117 S Washington Ave, Newport, WA and can be reached out via phone at 509-447-4108.

Location: 117 S Washington Ave, Newport, WA, 99156-0298
institution
Provider Profile Details
NPI Number
1790851293
Provider Name
Groom Enterprises
Credential
Provider Entity Type
Organization
Address
117 S Washington Ave, Newport, WA, 99156-0298
Phone Number
509-447-4108
Fax Number
Provider Enumeration Date
11/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00393077 01 WA WASHINGTON L&I
00001004260 01 ID BLUE SHIELD IDAHO
804257500 05 ID
9120502 05 WA
BMKM0 01 ID BLUE CROSS IDAHO
institution
Provider Business Practice Location Address Details
Address
117 S Washington Ave
City
State
Zip
99156-9665
Phone Number
509-447-4108
Fax Number
person
Provider Business Mailing Address Details
Address
117 S Washington Ave
City
State
Zip
99156-9665
Phone Number
509-447-4108
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Ambulance
Speciality
Land Transport
Taxonomy
License No.
26X02 (Washington)
Definition
Definition to come...
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