Quinault Indian Nation

NPI #1245501048 in Taholah, Washington

Provider Information

NPI Number: 1245501048
Entity Type: Organization
Organization Name: Quinault Indian Nation
Primary Specialty: Ambulance
Enumeration Date: Jan 25, 2012
Last Updated: Jan 25, 2012

Practice Location

Address: 1505 KLA-OOK-WA DRIVE
City: Taholah
State: Washington
ZIP Code: 98587-0219
Phone: (360) 276-4405

Authorized Official

Name: MARIAH Y RALSTON
Title: BILLING OFFICE MANAGER
Phone: (360) 276-4405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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