Active NPI
City of Vale
Doing business as Vale Ambulance Service
- Land Ambulance
- Vale, OR
National Provider Identifier
1043433592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2302
- Legal business name
- CITY OF VALE
- Doing business as
- Vale Ambulance Service
- Practice address
- 252 B St W
Vale, OR 97918-1361 - Phone
- (541) 473-3796
- Fax
- (541) 473-9667
- NPI assigned
- Apr 11, 2007
- Last updated
- Sep 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd H Hesse
- Title
- Billing Clerk
- Phone
- (541) 473-3796
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2302 | OR | Primary |
Addresses
Primary practice location
252 B St W
Vale, OR 97918-1361
Mailing address
252 B St W
Vale, OR 97918-1361
Phone (541) 473-3796
Other names 1
- Vale Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100901000081 | OR | Part B Supplier - Ambulance Service Supplier | 1254455074 | Practice locations: Vale, OR |
National Provider Directory
National Provider DirectoryLocations
150 Longfellow St N
Vale, OR 97918
252 B St W
Vale, OR 97918
Phone (503) 473-3133
950 Hope St
Vale, OR 97918
Phone (541) 473-3133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284422400000",
"number": "1043433592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 B ST W",
"city": "VALE",
"state": "OR",
"postal_code": "979181361",
"telephone_number": "541-473-3796",
"fax_number": "541-473-9667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 B ST W",
"city": "VALE",
"state": "OR",
"postal_code": "979181361",
"telephone_number": "541-473-3796",
"fax_number": "541-473-9667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF VALE",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-11",
"last_updated": "2010-09-14",
"status": "A",
"authorized_official_last_name": "HESSE",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "BILLING CLERK",
"authorized_official_telephone_number": "541-473-3796"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "OR",
"license": "2302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vale Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vale, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.