Organization Active NPI

Paisley Disaster Unit

  • Ambulance
  • Paisley, OR
National Provider Identifier
1053480806
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
E179847 Issued in OR
Legal business name
PAISLEY DISASTER UNIT
Practice address
1011 Cottonwood
Paisley, OR 97636
Phone
(541) 882-6984
NPI assigned
Nov 7, 2006
Last updated
May 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Authorized official

Name
Pierre Hoppe
Title
Secretary/Treasurer
Phone
(541) 419-4012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X E179847 OR Primary

Addresses

Primary practice location

1011 Cottonwood
Paisley, OR 97636

Mailing address

PO Box 208
Paisley, OR 97636-0208
Phone (541) 419-4012

Other identifiers 1

IdentifierTypeStateIssuer
278646MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070618000017 OR Part B Supplier - Ambulance Service Supplier 9133228109 Practice locations: Paisley, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0995852Paisley Disaster Unit1011 Cottonwood St, Paisley, OR 97636Certificate of waiverJan 31, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1053480806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "city": "PAISLEY",
            "state": "OR",
            "postal_code": "976360208",
            "telephone_number": "541-419-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 COTTONWOOD",
            "city": "PAISLEY",
            "state": "OR",
            "postal_code": "97636",
            "telephone_number": "541-882-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAISLEY DISASTER UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "HOPPE",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "541-419-4012"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OR",
            "license": "E179847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278646",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paisley, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.