Organization Active NPI

Walter Bros Inc

  • Land Ambulance
  • Eugene, OR
National Provider Identifier
1407928625
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2044-06 Issued in OR
Legal business name
WALTER BROS INC
Practice address
95 S Bertelsen Rd
Eugene, OR 97402-5371
Phone
(541) 342-3003
Fax
(541) 342-6229
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Mr. Lynn Walter
Title
President
Phone
(541) 342-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2044-06 OR Primary

Addresses

Primary practice location

95 S Bertelsen Rd
Eugene, OR 97402-5371

Mailing address

95 S Bertelsen Rd
Eugene, OR 97402-5371
Phone (541) 342-3003

Other identifiers 1

IdentifierTypeStateIssuer
229140MedicaidOR

National Provider Directory

National Provider Directory

Locations

95 S Bertelsen Rd
Eugene, OR 97402
Phone (541) 342-3003

86175 Franklin Blvd
Ste 200
Eugene, OR 97405
Phone (541) 342-5099

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1407928625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 S BERTELSEN RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974025371",
            "telephone_number": "541-342-3003",
            "fax_number": "541-342-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 S BERTELSEN RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974025371",
            "telephone_number": "541-342-3003",
            "fax_number": "541-342-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER BROS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-342-3003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "2044-06",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229140",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.