Organization Active NPI

City of Vale

Doing business as Vale Ambulance Service

  • Land Ambulance
  • Vale, OR
National Provider Identifier
1043433592
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2302 Issued in OR
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100901000081 OR Part B Supplier - Ambulance Service Supplier 1254455074 Practice locations: Vale, OR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.