City of Bend

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0901 Issued in OR

Legal business name

CITY OF BEND

Practice address

1212 SW Simpson Ave
Bend, OR 97702-3191

Phone

(541) 322-6318

Fax

(541) 323-8510

NPI assigned

Jul 10, 2006

Organization subpart

Yes

Parent organization

CITY OF BENDAs reported in NPPES

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

Authorized official

Name

Samantha Nelson

Title

Chief Financial Officer

Phone

(541) 693-2154

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• City of Bend 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

Part of

City of Bend

Locations

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1760416358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 SW SIMPSON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023191",
            "telephone_number": "541-322-6318",
            "fax_number": "541-323-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 SW SIMPSON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023191",
            "telephone_number": "541-322-6318",
            "fax_number": "541-323-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BEND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF BEND",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "541-693-2154"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "0901",
            "primary": true
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "OR",
            "license": "0901",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OR",
            "license": "0901",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "756590550",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121202",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Bend Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elysia Churchman
• Valerie Cieloha
• David Craig Cieslowski, DPT
• James Fredrick Ciomber, FNP-C
• Lea Cisero Blumberg, QMHP
• Heather Claffey, FNP-C
• Joshua Claravall
• Clarity Precision Health LLC
• Clark Counseling Services, LLC
• Amber Lee Clark, LMT

• Land Ambulance in Bend, OR
• Providers in Bend, 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 7, 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.