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WAITSBURG AMBULANCE SERVICE

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Company Details

Legal Name: WAITSBURG AMBULANCE SERVICE
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: March 30th 1970
Date of Dissolution: August 4th 2016
Expiration date: 31 Mar 2016
UBI Number: 600 018 403
ZIP code: 99361
City: Waitsburg
County: WALLA WALLA
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 765 PRESTON AVENUE, WAITSBURG, WA, 99361, UNITED STATES

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Registered Agent Information

Name Role Address
WAITSBURG AMBULANCE SERVICE Registered Agent 765 PRESTON AVE, WAITSBURG, WA, 99361-0000, UNITED STATES

Key Officers & Management

Name Role Address
JACK MCCAW Governing Person 329 WEST 7TH, WAITSBURG, WA, 99361, UNITED STATES
JACK OTTERSON Governing Person 541 WEST 4TH, WAITSBURG, WA, 99361, UNITED STATES
JOAN HAYS Governing Person 716 ORCHARD, WAITSBURG, WA, 99361, UNITED STATES

National Provider Identifier

NPI Number:
1154305522

Authorized Person:

Name:
SHARON MARIE BROOKS
Role:
DEPUTY CHIEF OF OPERATIONS
Phone:

Taxonomy:

Selected Taxonomy:
3416L0300X - Land Ambulance
Is Primary:
Yes

Contacts:

Fax:
5093376220
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