Lyons Rural Fire Protection District
Organization Active NPI Land Ambulance · Lyons, OR
NPI 1922006576 · NPPES record last updated Jun 9, 2011
Key facts
- NPI
- 1922006576
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 2202-06 (OR)
- Legal business name
- LYONS RURAL FIRE PROTECTION DISTRICT
- Practice address
- 1114 Main St
Lyons, OR 97358-2306 - Phone
- (503) 859-2410
- Fax
- (503) 859-2422
- NPI assigned
- Jul 8, 2005
- Organization subpart
- No
Authorized official
- Name
- Micaela Valentine
- Title
- Office Administrator
- Phone
- (503) 859-2410
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100119000817 | OR | Part B Supplier - Ambulance Service Supplier | 4981746542 | Practice locations: Lyons, OR |
National Provider Directory
Locations
1114 Main St
Lyons, OR 97358
Phone (503) 859-2410
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2202-06 | OR | Yes |
Addresses
Primary practice location
1114 Main St
Lyons, OR 97358-2306
Mailing address
PO Box 179
Lyons, OR 97358-0179
Phone (503) 859-2410
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109611 | Medicaid | OR |
Other names
- Lyons Ambulance Service
Other providers in Lyons, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.