City of Corvallis

Primary specialty

AmbulanceTaxonomy code 341600000X

License

020106 Issued in OR

Legal business name

CITY OF CORVALLIS

Doing business as

City of Corvallis - Ambulance

Practice address

400 NW Harrison Blvd
Main Fire Station
Corvallis, OR 97330

Phone

(541) 766-6961

Fax

(541) 766-6938

NPI assigned

Nov 20, 2006

Last updated

Dec 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert E Wrightson

Title

Assistant Finance Director

Phone

(541) 766-6990

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• City of Corvallis - Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1023182417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1083",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391083",
            "telephone_number": "541-766-6996",
            "fax_number": "541-754-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NW HARRISON BLVD",
            "address_2": "MAIN FIRE STATION",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "97330",
            "telephone_number": "541-766-6961",
            "fax_number": "541-766-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CORVALLIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "WRIGHTSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ASSISTANT FINANCE DIRECTOR",
        "authorized_official_telephone_number": "541-766-6990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OR",
            "license": "05270500241671200",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OR",
            "license": "020106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033605",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Corvallis - Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Patricia Ciccarelli
• Christine Cilley
• Phillip Theodore Ciprotti
• Jon Joseph Cisneros, PSY.D.
• Marisela Jessica Cisneros
• Miya Claborn
• Kailey Janet Claggett, LPC
• Krystal Jacinta Clampitt, LCSW
• Joan Louise Clapper, OTR
• Clara a. Bozievich, M.D., LLC

• Ambulance in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Ambulance in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.