Western Lane Fire and EMS Authority

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

WESTERN LANE FIRE AND EMS AUTHORITY

Practice address

2625 Highway 101
Florence, OR 97439-9702

Phone

(541) 997-3212

Fax

(541) 997-9116

NPI assigned

Nov 13, 2019

Last updated

Nov 13, 2019By 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

Michael Roy Schick

Title

Fire & EMS Chief

Phone

(541) 997-3212

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cindy Gentry

  • Assistant Behavior Analyst
  • Florence, OR
  • NPI 1609611326
  NPD
• Melissa Ann House, QMHA-I

  • Community Health Worker
  • Florence, OR
  • NPI 1760227003
  NPD
• Alicia Denicola, PHD

  • School Social Worker
  • Florence, OR
  • NPI 1316868698
  NPD (past)

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1336784495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 HIGHWAY 101",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974399702",
            "telephone_number": "541-997-3212",
            "fax_number": "541-997-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 HIGHWAY 101",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974399702",
            "telephone_number": "541-997-3212",
            "fax_number": "541-997-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN LANE FIRE AND EMS AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "SCHICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "FIRE & EMS CHIEF",
        "authorized_official_telephone_number": "541-997-3212"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce M. Watanabe, M.D.
• Dwain M Watkins, CRNA
• Wellness Essentials Center LLC
• Wellspring Clinic
• Western Lane Ambulance District
• Jo Ann Whitney, RPH
• Howard Williams, RPH
• Krisinda Lee Williams, LPC
• Deanna Judith Wilson
• Gina Simone Wilson, M.D. ( MEDICAL DOCTO

• Early Intervention Provider Agency in Florence, OR
• Providers in Florence, OR by specialty
• Early Intervention Provider Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.