Umpqua Valley Ambulance Service Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

UMPQUA VALLEY AMBULANCE SERVICE INC.

Practice address

1290 NE Cedar St
Roseburg, OR 97470-2016

Phone

(541) 440-7635

Fax

(541) 440-2398

NPI assigned

Feb 28, 2018

Organization subpart

No

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

Authorized official

Name

J D Fuiten

Title

President / Owner

Phone

(541) 266-4363

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1841791464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 NE CEDAR ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702016",
            "telephone_number": "541-440-7635",
            "fax_number": "541-440-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 NE CEDAR ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702016",
            "telephone_number": "541-440-7635",
            "fax_number": "541-440-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMPQUA VALLEY AMBULANCE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "FUITEN",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "541-266-4363"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Umpqua Medical PC
• Umpqua Neurology PC
• Umpqua Orthopedics
• Umpqua Orthopedics PC
• Umpqua River Nursing & Rehab LLC
• Umpqua Valley Eye Associates LLC
• Umpqua Valley Internists PC
• Umpqua Valley Nursing & Rehabilitation Center, LLC (Umpqua Valley Nursing & Rehabilitation Center)
• Umpqua Valley Surgery Center LLC
• Umpqua Valley Womens Care PC (La Bella Vita Health & Wellness)

• Land Ambulance in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Land Ambulance in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.