Active NPI
Rogue Valley Transportation District
- Transportation Broker
- Medford, OR
National Provider Identifier
1720482433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- License
- 230480
- Legal business name
- ROGUE VALLEY TRANSPORTATION DISTRICT
- Practice address
- 239 E Barnett Rd
Medford, OR 97501-7927 - Phone
- (541) 842-2072
- Fax
- (541) 842-2071
- NPI assigned
- Oct 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie A Brown
- Title
- General Manager
- Phone
- (541) 608-2413
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transportation Broker | 347E00000X | 230480 | OR | Primary |
Addresses
Primary practice location
239 E Barnett Rd
Medford, OR 97501-7927
Mailing address
3200 Crater Lake Ave
Medford, OR 97504-9075
Phone (541) 779-5821
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 230480 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
239 E Barnett Rd
Medford, OR 97501
Phone (541) 842-2072
3150 Crater Lake Ave
Medford, OR 97504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412812800000",
"number": "1720482433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 CRATER LAKE AVE",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975049075",
"telephone_number": "541-779-5821",
"fax_number": "541-773-2877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 E BARNETT RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975017927",
"telephone_number": "541-842-2072",
"fax_number": "541-842-2071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROGUE VALLEY TRANSPORTATION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-09",
"last_updated": "2014-10-09",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "541-608-2413"
},
"taxonomies": [
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": "OR",
"license": "230480",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "230480",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.