City of Union
Organization Active NPI Land Ambulance · Union, OR
NPI 1255415261 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1255415261
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- CITY OF UNION
- Practice address
- 342 S Main St
Union, OR 97883 - Phone
- (541) 562-5197
- Fax
- (541) 562-5196
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Joe Wrabek
- Title
- City Administrator
- Phone
- (541) 562-5197
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120613000228 | OR | Part B Supplier - Ambulance Service Supplier | 0345404810 | Practice locations: Union, OR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
342 S Main St
Union, OR 97883
Mailing address
PO Box 529
Union, OR 97883-0529
Phone (541) 562-5197
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028928 | Medicaid | OR |
Other names
- Union Volunteer Ambulance
Other providers in Union, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.