Active NPI
City of Myrtle Point
Doing business as Myrtle Point Ambulance
- Ambulance
- Myrtle Point, OR
National Provider Identifier
1275542524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 0602
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024992 | Medicaid | OR |
Other names 1
- MYRTLE POINT AMBULANCE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100212000701 | OR | Part B Supplier - Ambulance Service Supplier | 9234273392 | Practice locations: Myrtle Point, OR |
National Provider Directory
National Provider DirectoryLocations
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
- Bisson Counseling Services
- Emily Caffey, LMT
- Care Centers Management, Inc. (Myrtle Point Care Center)
- Care Centers Management, Inc. (Myrtle Point Care Center)
- Rachelle R Chevalier, LMFT, MA
- Coquille Valley Health
- Coquille Valley Hospital District
- John Calvin Counts, MD
- County of Coos Myrtle Point School District 41
- Margo Jo Day, LPN
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.