Western Lane Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2003-05 Issued in OR

Legal business name

WESTERN LANE AMBULANCE DISTRICT

Practice address

410 9TH St
Florence, OR 97439-7398

Phone

(541) 997-9614

Fax

(541) 997-2995

NPI assigned

Oct 31, 2005

Last updated

Aug 12, 2025By 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

Robert Chance

Title

Deputy Chief

Phone

(541) 997-3212

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alicia Denicola, PHD

  • School Social Worker
  • Florence, OR
  • NPI 1316868698
  NPD (past)
• Melissa Ann House, QMHA-I

  • Community Health Worker
  • Florence, OR
  • NPI 1760227003
  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1750372553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3510",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983833510",
            "telephone_number": "360-394-7020",
            "fax_number": "360-394-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 9TH ST",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974397398",
            "telephone_number": "541-997-9614",
            "fax_number": "541-997-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN LANE AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "CHANCE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DEPUTY CHIEF",
        "authorized_official_telephone_number": "541-997-3212"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "2003-05",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209536",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sequoia Shelly Warner, L.M.T.
• Bruce M. Watanabe, M.D.
• Dwain M Watkins, CRNA
• Wellness Essentials Center LLC
• Wellspring Clinic
• Western Lane Fire and EMS Authority
• Jo Ann Whitney, RPH
• Howard Williams, RPH
• Krisinda Lee Williams, LPC
• Deanna Judith Wilson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.