City of McMinnville

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3603 Issued in OR

Legal business name

CITY OF MCMINNVILLE

Doing business as

City of McMinnville Ambulance Service

Practice address

175 NE 1St St
McMinnville, OR 97128-6048

Phone

(503) 435-5806

Fax

(503) 435-5815

NPI assigned

Jan 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jay Lilly

Title

Fire Chief

Phone

(503) 435-5800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• City of McMinnville Ambulance Service Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003960212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 NE 1ST ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286048",
            "telephone_number": "503-435-5806",
            "fax_number": "503-435-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 NE 1ST ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286048",
            "telephone_number": "503-435-5806",
            "fax_number": "503-435-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MCMINNVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LILLY",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "503-435-5800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "3603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117788",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of McMinnville Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachery Paul Christenson
• Christopher a. Blake, MD, PC
• Carolee Church
• Holly Churchill
• Kenneth M Cinnamon
• Jessie Leigh Clark, APRNNP, FNPC, FNPBC
• Juliana Clark
• Nicholas L Clark, O.D.
• Susan Gaieen Clark, LCSW
• Lexie Clements

• Land Ambulance in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Land Ambulance in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.