Active NPI
Secure Transportation of Oregon LLC
- Secured Medical Transport (VAN)
- Springfield, OR
National Provider Identifier
1811036577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Secured Medical Transport (VAN)
- License
- 269382
- Legal business name
- SECURE TRANSPORTATION OF OREGON LLC
- Practice address
- 5729 Main St # 247
Springfield, OR 97478-5426 - Phone
- (541) 325-2119
- Fax
- (541) 306-4872
- NPI assigned
- Feb 6, 2007
- 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
- Lisa Jaehnig
- Title
- Director of Transportation
- Phone
- (541) 325-2119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Secured Medical Transport (VAN) | 343800000X | 269382 | OR | Primary |
Addresses
Primary practice location
5729 Main St # 247
Springfield, OR 97478-5426
Mailing address
5729 Main St # 247
Springfield, OR 97478-5426
Phone (541) 325-2119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269382 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
5729 Main St
Springfield, OR 97478
Phone (301) 576-0832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347840000000",
"number": "1811036577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5729 MAIN ST # 247",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974785426",
"telephone_number": "541-325-2119",
"fax_number": "541-306-4872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5729 MAIN ST # 247",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974785426",
"telephone_number": "541-325-2119",
"fax_number": "541-306-4872"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SECURE TRANSPORTATION OF OREGON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2012-09-17",
"status": "A",
"authorized_official_last_name": "JAEHNIG",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "DIRECTOR OF TRANSPORTATION",
"authorized_official_telephone_number": "541-325-2119"
},
"taxonomies": [
{
"code": "343800000X",
"taxonomy_group": "",
"desc": "Secured Medical Transport (VAN)",
"state": "OR",
"license": "269382",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269382",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.