Organization Active NPI

City of Myrtle Point

Doing business as Myrtle Point Ambulance

  • Ambulance
  • Myrtle Point, OR
National Provider Identifier
1275542524
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0602 Issued in OR
Legal business name
CITY OF MYRTLE POINT
Doing business as
Myrtle Point Ambulance
Practice address
320 5TH Street
Myrtle Point, OR 97458-1039
Phone
(541) 572-2993
Fax
(541) 572-0233
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Authorized official

Name
Mrs. Cheryl J Houston
Title
Director
Phone
(541) 572-2993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0602 OR Primary

Addresses

Primary practice location

320 5TH Street
Myrtle Point, OR 97458-1039

Mailing address

424 5TH St
Myrtle Point, OR 97458-1114
Phone (541) 572-2993

Other identifiers 1

IdentifierTypeStateIssuer
024992MedicaidOR

Other names 1

  • MYRTLE POINT AMBULANCE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100212000701 OR Part B Supplier - Ambulance Service Supplier 9234273392 Practice locations: Myrtle Point, OR

National Provider Directory

National Provider Directory

Locations

320 5TH St
Myrtle Point, OR 97458
Phone (541) 572-2993

424 5th St
Myrtle Point, OR 97458

320 5TH St
Myrtle Point, OR 97458
Phone (541) 572-2993

637 Ash St
Myrtle Point, OR 97458
Phone (541) 572-2066

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1275542524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 5TH ST",
            "city": "MYRTLE POINT",
            "state": "OR",
            "postal_code": "974581114",
            "telephone_number": "541-572-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 5TH STREET",
            "city": "MYRTLE POINT",
            "state": "OR",
            "postal_code": "974581039",
            "telephone_number": "541-572-2993",
            "fax_number": "541-572-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MYRTLE POINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "541-572-2993",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OR",
            "license": "0602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024992",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MYRTLE POINT AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Myrtle Point, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.