City of Albany

Primary specialty

AmbulanceTaxonomy code 341600000X

License

2201 Issued in OR

Legal business name

CITY OF ALBANY

Doing business as

Albany Fire Department Ambulance Service

Practice address

333 Broadalbin Street SW
Albany, OR 97321-0144

Phone

(541) 917-7710

Fax

(541) 917-7540

NPI assigned

Sep 14, 2006

Last updated

Feb 1, 2010By 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

Mr. Wes Hare

Title

City Manager

Phone

(541) 917-7505

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Albany Fire Department Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1518062264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973210144",
            "telephone_number": "541-917-7710",
            "fax_number": "541-917-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BROADALBIN STREET SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973210144",
            "telephone_number": "541-917-7710",
            "fax_number": "541-917-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ALBANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "HARE",
        "authorized_official_first_name": "WES",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "541-917-7505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OR",
            "license": "2201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CLIA",
            "identifier": "38D0685979",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028829",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albany Fire Department Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Ann Christy, LMT
• Christina Chumard, CCC-SLP
• Dean H Church, DMD
• Circletree Group
• Celeste Cisneros
• Michael David Clark, CRM
• Thomas F. Clark, M.D.
• Michael Anne Claytor, CRM
• Jacquelyn A. Cloud, M.S., CADC II
• Alisha Marie Cluff Kingsford, DO

• Ambulance in Albany, OR
• Providers in Albany, OR by specialty
• Ambulance in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.