NPIMap

Organization Active NPI

North Gilliam County Health District

Doing business as North Gilliam Medic

  • Land Ambulance
  • Arlington, OR
National Provider Identifier
1861860744
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1104 Issued in OR
Legal business name
NORTH GILLIAM COUNTY HEALTH DISTRICT
Doing business as
North Gilliam Medic
Practice address
110 On the Mall St
Arlington, OR 97812-2067
Phone
(541) 454-2888
NPI assigned
Sep 9, 2015
Last updated
Sep 9, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH GILLIAM COUNTY HEALTH DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
Bobby Feemster
Title
Billing Manager
Phone
(254) 918-5388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1104 OR Primary

Addresses

Primary practice location

110 On the Mall St
Arlington, OR 97812-2067

Mailing address

PO Box 105
Arlington, OR 97812-0105

Other names 1

  • North Gilliam Medic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160331000891 OR Part B Supplier - Ambulance Service Supplier 7517964620 Practice locations: Arlington, OR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
North Gilliam County Health District2 organizations share this tax ID, including this one
Part of
North Gilliam County Health District

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1861860744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 105",
            "city": "ARLINGTON",
            "state": "OR",
            "postal_code": "978120105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ON THE MALL ST",
            "city": "ARLINGTON",
            "state": "OR",
            "postal_code": "978122067",
            "telephone_number": "541-454-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GILLIAM COUNTY HEALTH DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH GILLIAM COUNTY HEALTH DISTRICT",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "FEEMSTER",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "254-918-5388"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "1104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Gilliam Medic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.