City of Pendleton

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3005-05 Issued in OR

Legal business name

CITY OF PENDLETON

Practice address

1455 SE Court Ave
Pendleton, OR 97801-3212

Phone

(541) 276-1442

NPI assigned

May 23, 2005

Organization subpart

No

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

Authorized official

Name

Karen Hoeft

Title

Sr Account Clerk

Phone

(541) 276-1442

Specialties & licenses 1

Addresses

Other identifiers 6

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

Locations

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1982607016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 SW COURT AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978011912",
            "telephone_number": "541-276-1442",
            "fax_number": "541-276-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 SE COURT AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013212",
            "telephone_number": "541-276-1442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 SW Court Ave",
            "address_purpose": "LOCATION",
            "city": "Pendleton",
            "state": "OR",
            "postal_code": "978011912",
            "country_code": "US",
            "telephone_number": "541-276-1442",
            "fax_number": "541-276-9171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CITY OF PENDLETON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "HOEFT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "SR ACCOUNT CLERK",
        "authorized_official_telephone_number": "541-276-1442"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "3005-05",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149393",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON MEDICAID",
            "identifier": "9571407",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8060348000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "085387000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON LABOR AND INDU",
            "identifier": "28045",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590133278",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Pendleton, OR
• Providers in Pendleton, 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 3, 2021; 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.