City of Newberg

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3605-06 Issued in OR

Legal business name

CITY OF NEWBERG

Practice address

414 E 2ND St
Newberg, OR 97132-3006

Phone

(503) 537-1230

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Daniel C Danicic

Title

City Mangaer

Phone

(503) 537-1207

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• City of Newberg Ambulance Other name

Locations

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1891747242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E 2ND ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971323006",
            "telephone_number": "503-537-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E 2ND ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971323006",
            "telephone_number": "503-537-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NEWBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "DANICIC",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CITY MANGAER",
        "authorized_official_telephone_number": "503-537-1207",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "3605-06",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128723",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "040097000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "590015410",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "R142059",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Newberg Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Spencer James Chun, MD
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• Shelby Lyne Clarke, M.A
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• Land Ambulance in Newberg, OR
• Providers in Newberg, OR by specialty
• Land Ambulance in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.