Organization Active NPI

Secure Transportation of Oregon LLC

  • Secured Medical Transport (VAN)
  • Springfield, OR
National Provider Identifier
1811036577
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
License
269382 Issued in OR
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

Updated by the provider on Sep 17, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
269382MedicaidOR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.