Organization Active NPI

City of Union

Doing business as Union Volunteer Ambulance

  • Land Ambulance
  • Union, OR
National Provider Identifier
1255415261
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF UNION
Doing business as
Union Volunteer Ambulance
Practice address
342 S Main St
Union, OR 97883
Phone
(541) 562-5197
Fax
(541) 562-5196
NPI assigned
Oct 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joe Wrabek
Title
City Administrator
Phone
(541) 562-5197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

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 names 1

  • Union Volunteer Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120613000228 OR Part B Supplier - Ambulance Service Supplier 0345404810 Practice locations: Union, OR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255415261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 529",
            "city": "UNION",
            "state": "OR",
            "postal_code": "978830529",
            "telephone_number": "541-562-5197",
            "fax_number": "541-562-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 S MAIN ST",
            "city": "UNION",
            "state": "OR",
            "postal_code": "97883",
            "telephone_number": "541-562-5197",
            "fax_number": "541-562-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF UNION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WRABEK",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CITY ADMINISTRATOR",
        "authorized_official_telephone_number": "541-562-5197"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Volunteer Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.