Northwest Wade Corporation

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

383936 Issued in OR

Legal business name

NORTHWEST WADE CORPORATION

Doing business as

Community Ambulance

Practice address

9807 SE Ash St
Portland, OR 97216

Phone

(503) 241-7283

Fax

(503) 246-2155

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Junita Jean Kauble, EMD AND GENERAL MANA

Title

General Manager and Emergency Medic

Phone

(503) 241-7283

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Community Ambulance Doing business as

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1033231709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16098",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97292",
            "telephone_number": "503-241-7283",
            "fax_number": "503-246-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9807 SE ASH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97216",
            "telephone_number": "503-241-7283",
            "fax_number": "503-246-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST WADE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "KAUBLE",
        "authorized_official_first_name": "JUNITA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "GENERAL MANAGER AND EMERGENCY MEDIC",
        "authorized_official_telephone_number": "503-241-7283",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "EMD AND GENERAL MANA"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "383936",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OR",
            "license": "383936",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149187",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northwest Urology, LLC
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• Northwest Vascular Consultants Inc
• Northwest Vein Specialists, P.C.
• Northwest Vitality Group
• Northwest Wade Corporation
• Northwest Women'S Clinic, PC
• Northwestern Neurological Assoc PC
• Northwoods Dental, LLC
• Amanda Leigh Norton, ND

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.