Port Orford Community Ambulance Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PORT ORFORD COMMUNITY AMBULANCE INC

Practice address

552 19TH St
Port Orford, OR 97465

Phone

(541) 332-0384

NPI assigned

Mar 16, 2007

Last updated

Nov 2, 2007By 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

Cecil Ashdown

Title

EMS Office Coordinator

Phone

(541) 332-0384

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1295869584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 582",
            "city": "PORT ORFORD",
            "state": "OR",
            "postal_code": "974650582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 19TH ST",
            "city": "PORT ORFORD",
            "state": "OR",
            "postal_code": "97465",
            "telephone_number": "541-332-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT ORFORD COMMUNITY AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "ASHDOWN",
        "authorized_official_first_name": "CECIL",
        "authorized_official_title_or_position": "EMS OFFICE COORDINATOR",
        "authorized_official_telephone_number": "541-332-0384"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148916",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra P. Johnson, FNP
• Tamara Lynn Johnson, MED, RD,LD,CDE
• Harold D Lowry, MD
• Joan Anne McNerlin
• Thomas E. Pitchford III, MD
• Port Orford- Langlois School District
• Roger Donald Rasmussen, RN
• Lisa Lee Rohm, NP

• Land Ambulance in Port Orford, OR
• Providers in Port Orford, OR by specialty
• Land Ambulance in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.