City of Vale
Organization Active NPI Land Ambulance · Vale, OR
NPI 1043433592 · NPPES record last updated Sep 14, 2010
Key facts
- NPI
- 1043433592
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 2302 (OR)
- Legal business name
- CITY OF VALE
- Practice address
- 252 B St W
Vale, OR 97918-1361 - Phone
- (541) 473-3796
- Fax
- (541) 473-9667
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Todd H Hesse
- Title
- Billing Clerk
- Phone
- (541) 473-3796
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100901000081 | OR | Part B Supplier - Ambulance Service Supplier | 1254455074 | Practice locations: Vale, OR |
National Provider Directory
Locations
150 Longfellow St N
Vale, OR 97918
950 Hope St
Vale, OR 97918
Phone (541) 473-3133
252 B St W
Vale, OR 97918
Phone (503) 473-3133
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2302 | OR | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205542 | Medicaid | OR | |
| 000839000 | Other | OR | BLUE CROSS BLUE SHIELD |
Other names
- Vale Ambulance Service
Other providers in Vale, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.