Medix Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0401 Issued in OR

Legal business name

MEDIX AMBULANCE SERVICE INC

Practice address

2325 SE Dolphin Ave
Warrenton, OR 97146-9570

Phone

(503) 861-1990

Fax

(503) 861-5555

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Debbie R Phifer

Title

Chief Financial Officer

Phone

(503) 861-5570

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR, WA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356446405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 SE DOLPHIN AVE",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971469570",
            "telephone_number": "503-861-1990",
            "fax_number": "503-861-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 SE DOLPHIN AVE",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971469570",
            "telephone_number": "503-861-1990",
            "fax_number": "503-861-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIX AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHIFER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "503-861-5570",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "0401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001222",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Marty
• Brett Harrington Mayhew
• Brandi Dawn Mayhugh, RDH
• Angella Kalyn McCully, DNP-FNP, ARNP-C, NLC
• Kobe William McFadden, ATC
• Shyra Fay Merila, M.A.
• Valarie Chrystal Mill, DNP
• Joseph Monahan Miller, PHARMD
• Milwaukie Chiropractic - Dr. Jesse Brockey LLC
• Joshlyn Edna Mitchell

• Land Ambulance in Warrenton, OR
• Providers in Warrenton, OR by specialty
• Land 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.