Provider Demographics
NPI:1336396902
Name:INLAND EMPIRE EMERGENCY SERVICES ASSOCIATION
Entity Type:Organization
Organization Name:INLAND EMPIRE EMERGENCY SERVICES ASSOCIATION
Other - Org Name:INLAND EMPIRE EMERGENCY SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF LOGISTICS
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SALERNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-458-7866
Mailing Address - Street 1:PO BOX 141316
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99214-1316
Mailing Address - Country:US
Mailing Address - Phone:509-458-7866
Mailing Address - Fax:
Practice Address - Street 1:3510 S BATES RD
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-5944
Practice Address - Country:US
Practice Address - Phone:509-458-7866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-26
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAMB.ES.600288143416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport