NPIMap

Organization Active NPI

Cal-Ore Life Flight LLC

  • Land Ambulance
  • Coos Bay, OR
National Provider Identifier
1336718097
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CAL-ORE LIFE FLIGHT LLC
Practice address
3505 Ocean Blvd SE
Coos Bay, OR 97420-3537
Phone
(877) 288-5340
Fax
(417) 257-5761
NPI assigned
Jun 17, 2021
Organization subpart
Yes
Parent organization
CAL-ORE LIFE FLIGHT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Eric Thomas
Title
SVP of Rev Management
Phone
(877) 288-5340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

3505 Ocean Blvd SE
Coos Bay, OR 97420-3537

Mailing address

PO Box 930
West Plains, MO 65775-0930

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081219000542 OR Part B Supplier - Ambulance Service Supplier 1355389099 5 other NPIs on this enrollment
Practice locations: Brookings, OR; Coos Bay, OR; Gold Beach, OR; Hillsboro, OR; Medford, OR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Cal Ore Life Flight LLC10 organizations share this tax ID, including this one
Part of
Cal Ore Life Flight LLC

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1336718097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 930",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657750930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 OCEAN BLVD SE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974203537",
            "telephone_number": "877-288-5340",
            "fax_number": "417-257-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAL-ORE LIFE FLIGHT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAL-ORE LIFE FLIGHT LLC",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "SVP OF REV MANAGEMENT",
        "authorized_official_telephone_number": "877-288-5340"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coos Bay, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.