CHILOQUIN VOLUNTEER AMBULANCE SERVICE INC NPI 1922182260

NPI Information

NPI: 1922182260
Provider Name: CHILOQUIN VOLUNTEER AMBULANCE SERVICE, INC
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 38D2097651

Address:
201 S. 1ST AVE
CHILOQUIN, OR
ZIP 97624
Phone: (541) 783-3131
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CHILOQUIN VOLUNTEER AMBULANCE SERVICE, INC is an ambulance in Chiloquin, OR. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). CHILOQUIN VOLUNTEER AMBULANCE SERVICE, INC NPI is 1922182260. The provider is registered as an organization entity type.

The provider's business location address is:

201 S. 1ST AVE
CHILOQUIN, OR
ZIP 97624-342
Phone: (541) 783-3131
Fax: (541) 783-3129

The provider's authorized official is Carole Franzen .
The authorized official title is Administrator and has the following contact phone number (541) 783-3131.

The CLIA number assigned to this NPI record is 38D2097651 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 8/22/2020.

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	341600000X	Ambulance		1802	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	029967	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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