Bay Cities Medical Supply. Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0605 Issued in OR

Legal business name

BAY CITIES MEDICAL SUPPLY. INC.

Doing business as

Bay Cities Ambulance

Practice address

1180 Airport Way
North Bend, OR 97459-2063

Phone

(541) 269-1818

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Bruce Latta

Title

Owner

Phone

(541) 269-1818

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bay Cities Ambulance Doing business as

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710004387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 575",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974200115",
            "telephone_number": "541-269-1818",
            "fax_number": "541-266-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 AIRPORT WAY",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592063",
            "telephone_number": "541-269-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY CITIES MEDICAL SUPPLY. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LATTA",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-269-1818"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OR",
            "license": "0605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009365",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177188",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Cities Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Barton, CADC-R
• Cecilia Marie Bash-Byers
• Bay Area First Step, Inc.
• Bay Area Hospital District
• Bay Area Properties, LLC
• Bay Eye Clinic P.C.
• Bay Optical Laboratory Corp.
• Baycrest Estates, LLC
• Beacon Health Care Solutions Incorporated
• Beacon Health Care Solutions Incorporated

• Ambulance in North Bend, OR
• Providers in North Bend, OR by specialty
• Ambulance in Oregon

• 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.