Basin Ambulance Service District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1829 Issued in OR

Legal business name

BASIN AMBULANCE SERVICE DISTRICT

Doing business as

Basin Volunteer Ambulance Service

Practice address

24971 Hwy 39
Merrill, OR 97633

Phone

(541) 798-5175

Fax

(541) 798-5175

NPI assigned

Oct 3, 2006

Last updated

Oct 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dan Orr

Title

Board President

Phone

(541) 798-5175

Specialties & licenses 1

Addresses

Other names 1

• Basin Volunteer Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1245324169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 284",
            "city": "MALIN",
            "state": "OR",
            "postal_code": "976320284",
            "telephone_number": "541-798-5175",
            "fax_number": "541-798-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24971 HWY 39",
            "city": "MERRILL",
            "state": "OR",
            "postal_code": "97633",
            "telephone_number": "541-798-5175",
            "fax_number": "541-798-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIN AMBULANCE SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "ORR",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "541-798-5175"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "1829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Basin Volunteer Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.