Organization Active NPI

City of Ashland

  • Land Ambulance
  • Ashland, OR
National Provider Identifier
1992891063
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1501-06 Issued in OR
Legal business name
CITY OF ASHLAND
Practice address
455 Siskiyou Blvd
Ashland, OR 97520-2135
Phone
(541) 482-9198
Fax
(541) 488-5318
NPI assigned
Oct 5, 2006
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
Martha Bennett
Title
City Administrator
Phone
(541) 488-6002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1501-06 OR Primary

Addresses

Primary practice location

455 Siskiyou Blvd
Ashland, OR 97520-2135

Mailing address

20 E Main St
Ashland, OR 97520-1850
Phone (541) 488-6002

Other identifiers 1

IdentifierTypeStateIssuer
214320MedicaidOR

Other names 1

  • Ashland Fire & Rescue Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100209000794 OR Part B Supplier - Ambulance Service Supplier 6901949114 Practice locations: Ashland, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0866813Ashland Fire455 Siskiyou Blvd, Ashland, OR 97520Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory

Locations

20 E Main St
Ashland, OR 97520
Phone (503) 482-1160

455 Siskiyou Blvd
Ashland, OR 97520
Phone (541) 482-2770

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992891063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E MAIN ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201850",
            "telephone_number": "541-488-6002",
            "fax_number": "541-488-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SISKIYOU BLVD",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202135",
            "telephone_number": "541-482-9198",
            "fax_number": "541-488-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ASHLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "CITY ADMINISTRATOR",
        "authorized_official_telephone_number": "541-488-6002"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "1501-06",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214320",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashland Fire & Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, 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.
  • 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.