City of la Grande

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3103 Issued in OR

Legal business name

CITY OF LA GRANDE

Practice address

1806 Cove Avenue
La Grande, OR 97850-3517

Phone

(541) 963-3123

Fax

(541) 963-2192

NPI assigned

Oct 9, 2006

Last updated

Mar 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

Bruce L Weimer

Title

Fire Chief

Phone

(541) 963-3123

Specialties & licenses 1

Addresses

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": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1629165865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978503517",
            "telephone_number": "541-963-3123",
            "fax_number": "541-963-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 COVE AVENUE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978503517",
            "telephone_number": "541-963-3123",
            "fax_number": "541-963-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF LA GRANDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "WEIMER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "541-963-3123"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "3103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew A Christensen, CRM
• Ronald Robert Christensen, PHARM.D. RPH
• Cassidy Christopher, BS
• Neena Church
• Brooke Cicierski, INTERN
• Macey Clark, PNP-C, AGNP-C
• Tylee Cooper Clark, CSWA
• Marci Brianne Clarke, OT
• Lydia Claudson, CSWA
• Elizabeth Anne Cleveland

• Land Ambulance in La Grande, OR
• Providers in La Grande, OR by specialty
• Land Ambulance in Oregon

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