City of Eugene

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2007-06 Issued in OR

Legal business name

CITY OF EUGENE

Practice address

1705 W 2ND Ave
Eugene, OR 97402-4177

Phone

(541) 682-7100

Fax

(541) 682-7168

NPI assigned

Dec 29, 2005

Organization subpart

No

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

Authorized official

Name

John O. Follett

Title

Admin Division Manager

Phone

(541) 682-7107

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EUGENE FIRE & EMS DEPARTMENT 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": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1669459822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 W 2ND AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974024177",
            "telephone_number": "541-682-7100",
            "fax_number": "541-682-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 W 2ND AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974024177",
            "telephone_number": "541-682-7100",
            "fax_number": "541-682-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF EUGENE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "FOLLETT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "ADMIN DIVISION MANAGER",
        "authorized_official_telephone_number": "541-682-7107"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "2007-06",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261834",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EUGENE FIRE & EMS DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EUGENE FIRE & EMS DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jarett Cicirello, DC
• Jennifer Michelle Cimfl
• Casey Circle
• Judy A Cirullo, PT
• Noah Citron, LMT
• City of Springfield
• Cortnie Ciullo
• Lauren Forrester Clancey, AU.D
• Adam William Clark, PTA
• April Shannon Clark, LPC-ASSOCIATE R7809

• Land Ambulance in Eugene, OR
• Providers in Eugene, OR by specialty
• Land Ambulance in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.