Organization Active NPI

Falck Northwest Corp

  • Land Ambulance
  • Salem, OR
National Provider Identifier
1841535721
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
FALCK USA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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)CodeLicenseStatePrimary
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, WA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2092515Falck Northwest Corp Dba Falck Salem1790 Front St NE, Salem, OR 97301Certificate of waiverMar 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.

Verify at the official NPI Registry.