Saddle Mountain Volunteer Ambulance Service Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

BCN01011 Issued in OR

Legal business name

SADDLE MOUNTAIN VOLUNTEER AMBULANCE SERVICE INC

Practice address

23536 Sprague River Road
Sprague River, OR 97639

Phone

(541) 882-6984

Fax

(541) 884-7585

NPI assigned

Mar 30, 2007

Last updated

Aug 22, 2020By 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

Joy Nixon, CMA

Title

Medical Legal Rep

Phone

(541) 882-6984

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275653347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 SOUTH SIXTH STREET",
            "address_2": "SUITE 2",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "97601",
            "telephone_number": "541-882-6984",
            "fax_number": "541-884-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23536 SPRAGUE RIVER ROAD",
            "city": "SPRAGUE RIVER",
            "state": "OR",
            "postal_code": "97639",
            "telephone_number": "541-882-6984",
            "fax_number": "541-884-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADDLE MOUNTAIN VOLUNTEER AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "MEDICAL LEGAL REP",
        "authorized_official_telephone_number": "541-882-6984",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OR",
            "license": "BCN01011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233836",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Jean Herrera, RN
• Klamath County Fire District 3 (KCFD#3)

• Ambulance in Sprague River, OR
• Providers in Sprague River, OR by specialty
• Ambulance in Oregon

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.