Woodburn Ambulance Service, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2404 Issued in OR

Legal business name

WOODBURN AMBULANCE SERVICE, INC.

Practice address

1040 N Boones Ferry Rd
Woodburn, OR 97071-0584

Phone

(503) 982-4699

Fax

(503) 982-4823

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Kathleen L Morley

Title

Office MGR

Phone

(503) 982-4699

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mt Angel Ambulance , Silverton Ambulance 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": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1700975638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 584",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970710584",
            "telephone_number": "503-982-4699",
            "fax_number": "503-982-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 N BOONES FERRY RD",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970710584",
            "telephone_number": "503-982-4699",
            "fax_number": "503-982-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURN AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "MORLEY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "503-982-4699",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "2404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161422",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Angel Ambulance , Silverton Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Candice Winans
• Casidy Winters Merten
• Michelle K Witt
• WMC Operating Company, LLC
• McKenna Wonderling
• Woodburn Community Dental
• Woodburn Cosmetic & Family Dentistry P.C.
• Woodburn Dental Group, P.C.
• Woodburn Eye Center, LLC
• Woodburn Health Center Pharmacy

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.