NPIMap

Organization Active NPI

Rufus Ambulance Service

  • Land Ambulance
  • Rufus, OR
National Provider Identifier
1801909767
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2802-03 Issued in OR
Legal business name
RUFUS AMBULANCE SERVICE
Practice address
400 Main St
Rufus, OR 97050
Phone
(541) 739-2321
Fax
(541) 739-2460
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Mr. Randy Absolon
Title
Emt
Phone
(541) 739-2321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2802-03 OR Primary

Addresses

Primary practice location

400 Main St
Rufus, OR 97050

Mailing address

400 Main St
Rufus, OR 97050
Phone (541) 739-2321

Other identifiers 3

IdentifierTypeStateIssuer
164087MedicaidOR
9037100MedicaidWA
048490000OtherORBLUE CROSS OF OREGON

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1801909767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MAIN ST",
            "city": "RUFUS",
            "state": "OR",
            "postal_code": "97050",
            "telephone_number": "541-739-2321",
            "fax_number": "541-739-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MAIN ST",
            "city": "RUFUS",
            "state": "OR",
            "postal_code": "97050",
            "telephone_number": "541-739-2321",
            "fax_number": "541-739-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUFUS AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "ABSOLON",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "EMT",
        "authorized_official_telephone_number": "541-739-2321",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "2802-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164087",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9037100",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF OREGON",
            "identifier": "048490000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.