JEFFERSON COUNTY EMERGENCY MEDICAL SERVICES DISTRICT NPI 1386635936

NPI Information

NPI: 1386635936
Provider Name: JEFFERSON COUNTY EMERGENCY MEDICAL SERVICES DISTRICT
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 38D2053358

Address:
765 S 5TH ST
MADRAS, OR
ZIP 97741
Phone: (541) 475-7476
Get Directions

JEFFERSON COUNTY EMERGENCY MEDICAL SERVICES DISTRICT is a land transport ambulance in Madras, OR. JEFFERSON COUNTY EMERGENCY MEDICAL SERVICES DISTRICT NPI is 1386635936. The provider is registered as an organization entity type.

The provider's business location address is:

765 S 5TH ST
MADRAS, OR
ZIP 97741-047
Phone: (541) 475-7476
Fax: (541) 475-7654

The provider's authorized official is Michael Lepin .
The authorized official title is Chief Of Ems and has the following contact phone number (541) 475-7476.

The CLIA number assigned to this NPI record is 38D2053358 - other - rfpd with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2005 and was last updated on 4/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	NO NUMBER ISSUED	OREGON	No
2	3416L0300X	Ambulance	Land Transport			No
3	3416L0300X	Ambulance	Land Transport	1601AM	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	095943	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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