East Umatilla County Ambulance Area Health District

Primary specialty

AmbulanceTaxonomy code 341600000X

License

3004 Issued in OR

Legal business name

EAST UMATILLA COUNTY AMBULANCE AREA HEALTH DISTRICT

Practice address

431 E Main Street
Athena, OR 97813-0640

Phone

(541) 566-3813

Fax

(877) 469-6944

NPI assigned

Apr 6, 2017

Last updated

Apr 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffery Todd Rost, RN

Title

Administrator

Phone

(541) 566-3813

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1720511710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "ATHENA",
            "state": "OR",
            "postal_code": "978130640",
            "telephone_number": "541-566-3813",
            "fax_number": "877-469-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 E MAIN STREET",
            "city": "ATHENA",
            "state": "OR",
            "postal_code": "978130640",
            "telephone_number": "541-566-3813",
            "fax_number": "877-469-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST UMATILLA COUNTY AMBULANCE AREA HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "ROST",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "541-566-3813",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OR",
            "license": "3004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208769",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Umatilla County Health District
• Marlene Meadows
• Denise Diane Porter
• Susan Lyn Smalley, RN
• Saundra Steele, COTA/L

• Ambulance in Athena, OR
• Providers in Athena, OR by specialty
• Ambulance in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.