NPIMap

Organization Active NPI

Parkdale Rural Ambulance Service

  • Land Ambulance
  • Parkdale, OR
National Provider Identifier
1689756637
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1404-06 Issued in OR
Legal business name
PARKDALE RURAL AMBULANCE SERVICE
Practice address
4895 Baseline Dr
Parkdale, OR 97041
Phone
(541) 352-6092
NPI assigned
Oct 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Craig Danner, EMT
Title
Emt
Phone
(541) 352-6092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1404-06 OR Primary

Addresses

Primary practice location

4895 Baseline Dr
Parkdale, OR 97041

Mailing address

4895 Baseline Dr
Parkdale, OR 97041
Phone (541) 352-6092

Other identifiers 1

IdentifierTypeStateIssuer
151936MedicaidOR

National Provider Directory

National Provider Directory
Tax ID family
Parkdale Rural Ambulance Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4895 Baseline Dr
Mt Hood Prkdl, OR 97041
Phone (541) 352-6092

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689756637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4895 BASELINE DR",
            "city": "PARKDALE",
            "state": "OR",
            "postal_code": "97041",
            "telephone_number": "541-352-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 BASELINE DR",
            "city": "PARKDALE",
            "state": "OR",
            "postal_code": "97041",
            "telephone_number": "541-352-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKDALE RURAL AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANNER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "EMT",
        "authorized_official_telephone_number": "541-352-6092",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "1404-06",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151936",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkdale, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.