Phyllis Marie Gross in Nespelem - Emergency Medical Technician, Basic
Phyllis Marie Gross - NPI 1417165812
Phyllis Marie Gross is a Emergency Medical Technician, Basic in Nespelem, Washington. Phyllis Marie Gross practices all healthcare services and medical treatments related to Emergency Medical Technician, Basic. The NPI Number for Phyllis Marie Gross is 1417165812. The last update date is 2007-07-09.
Phyllis Marie Gross's current location address is 1 Colville Street, Nespelem, Washington. You can contact this provider via phone number 5096342727 and fax number 5096342781. The mailing address for Phyllis Marie Gross is 1 Colville Street, Nespelem, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Phyllis Marie Gross |
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Address | 1 Colville Street, Nespelem, Washington |
Phone Number | 5096342727 |
Fax Number | 5096342781 |
Sole Proprietor | N |
Credentials | EMT-B |
NPI Number Detail
NPI Number | 1417165812 |
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Provider Enumeration Date | 2007-05-18 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 1 Colville Street |
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City | Nespelem |
State | Washington (WA) |
Post Code | 99155 |
Phone Number | 5096342727 |
Fax Number | 5096342781 |
Provider's Primary Taxonomy Detail
Speciality | Emergency Medical Technician, Basic |
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Taxonomy | 146N00000X |
Licence No | 1170876 |
Definition: A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
9545807 | WA | -- |
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What is the unique provider identifier assigned to Phyllis Marie Gross?
The Phyllis Marie Gross has been issued the NPI (National Provider Identifier) 1417165812 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Phyllis Marie Gross located?
The Phyllis Marie Gross is located at 1 Colville Street, Nespelem, WA 99155.
What is Phyllis Marie Gross's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Phyllis Marie Gross is Emergency Medical Technician, Basic, and the taxonomy code that categorizes this field of expertise is 146N00000X.
When did the Phyllis Marie Gross receive its 1417165812?
The Phyllis Marie Gross was issued its 1417165812 on 2007-05-18, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Phyllis Marie Gross last refreshed?
The information related to the Phyllis Marie Gross, including its address, specialty, and other relevant details, was last updated on 2007-07-09.
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