Organization Active NPI

Chiloquin Volunteer Ambulance Service, Inc

  • Ambulance
  • Chiloquin, OR
National Provider Identifier
1922182260
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1802 Issued in OR
Legal business name
CHILOQUIN VOLUNTEER AMBULANCE SERVICE, INC
Practice address
201 S. 1St Ave
Chiloquin, OR 97624-0342
Phone
(541) 783-3131
Fax
(541) 783-3129
NPI assigned
Oct 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Carole Franzen
Title
Administrator
Phone
(541) 783-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1802 OR Primary

Addresses

Primary practice location

201 S. 1St Ave
Chiloquin, OR 97624-0342

Mailing address

PO Box 342
Chiloquin, OR 97624-0342
Phone (541) 783-3131

Other identifiers 1

IdentifierTypeStateIssuer
029967MedicaidOR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922182260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 342",
            "city": "CHILOQUIN",
            "state": "OR",
            "postal_code": "976240342",
            "telephone_number": "541-783-3131",
            "fax_number": "541-783-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S. 1ST AVE",
            "city": "CHILOQUIN",
            "state": "OR",
            "postal_code": "976240342",
            "telephone_number": "541-783-3131",
            "fax_number": "541-783-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILOQUIN VOLUNTEER AMBULANCE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRANZEN",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "541-783-3131",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OR",
            "license": "1802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029967",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chiloquin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.