Active NPI
Falck Northwest Corp
- Land Ambulance
- Salem, OR
National Provider Identifier
1841535721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- FALCK NORTHWEST CORP
- Practice address
- 1790 Front St NE
Salem, OR 97301-0720 - Phone
- (971) 428-7397
- NPI assigned
- Dec 4, 2012
- Last updated
- Apr 26, 2024
- Organization subpart
- Yes
- Parent organization
- FALCK USA, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Yann Hedoux
- Title
- Regional Ceo
- Phone
- (714) 288-3800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | ||
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
1790 Front St NE
Salem, OR 97301-0720
Mailing address
PO Box 31001-2191
Pasadena, CA 91110-2191
Phone (425) 248-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150731016104 | OR | Part B Supplier - Ambulance Service Supplier | 7618112111 | Practice locations: Salem, OR |
| O20201216001804 | WA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7618112111 | Practice locations: Mountlake Terrace, WA |
| O20201216002024 | OR | Part B Supplier - Mass Immunization (Roster Biller Only) | 7618112111 | Practice locations: Salem, OR |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2092515 | Falck Northwest Corp Dba Falck Salem | Certificate of waiver | Mar 5, 2027 |
National Provider Directory
National Provider Directory- Part of
- Falck USA Inc
Locations
1201 S Alma School Rd
Ste 8950
Mesa, AZ 85210
6405 218th St SW
Mountlake Terrace, WA 98043
Phone (425) 248-4100
6405 218th St SW
Ste 201
Mountlake Terrace, WA 98043
Phone (425) 218-0238
5102 20th St E
Ste 101
Tacoma, WA 98424
Phone (360) 471-8968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714089600000",
"number": "1841535721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31001-2191",
"city": "PASADENA",
"state": "CA",
"postal_code": "911102191",
"telephone_number": "425-248-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1790 FRONT ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973010720",
"telephone_number": "971-428-7397"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FALCK NORTHWEST CORP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FALCK USA, INC.",
"enumeration_date": "2012-12-04",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A",
"authorized_official_last_name": "HEDOUX",
"authorized_official_first_name": "YANN",
"authorized_official_title_or_position": "REGIONAL CEO",
"authorized_official_telephone_number": "714-288-3800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.