Provider Demographics
NPI:1366474785
Name:COUNCIL ON AGING & HUMAN SERVICES
Entity Type:Organization
Organization Name:COUNCIL ON AGING & HUMAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRANSPORTATION DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-397-2935
Mailing Address - Street 1:PO BOX 107
Mailing Address - Street 2:S 210 MAIN STREET
Mailing Address - City:COLFAX
Mailing Address - State:WA
Mailing Address - Zip Code:99111-0107
Mailing Address - Country:US
Mailing Address - Phone:509-397-2935
Mailing Address - Fax:509-397-9229
Practice Address - Street 1:210 S MAIN ST
Practice Address - Street 2:S 210 MAIN STREET
Practice Address - City:COLFAX
Practice Address - State:WA
Practice Address - Zip Code:99111-1820
Practice Address - Country:US
Practice Address - Phone:509-397-2935
Practice Address - Fax:509-397-9229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA343900000X, 347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Not Answered347E00000XTransportation ServicesTransportation Broker