City of Mitchell
Organization Active NPI Land Ambulance · Mitchell, OR
NPI 1508071200 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1508071200
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 3503-E227206 (OR)
- Legal business name
- CITY OF MITCHELL
- Practice address
- 202 SW High St
Mitchell, OR 97750-0097 - Phone
- (541) 447-5011
- Fax
- (541) 416-4999
- NPI assigned
- May 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Darla F. Neasham
- Title
- Billing Clerk
- Phone
- (541) 447-5011
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 3503-E227206 | OR | Yes |
Addresses
Primary practice location
202 SW High St
Mitchell, OR 97750-0097
Mailing address
202 SW High St
Mitchell, OR 97750-0097
Phone (541) 447-5011
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104430 | Medicaid | OR |
Other names
- Mitchell Ambulance
Other providers in Mitchell, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.