Bay Cities Ambulance

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BAY CITIES AMBULANCE

Practice address

3505 Ocean Blvd SE
Coos Bay, OR 97420-3537

Phone

(541) 265-3175

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. J D Fuiten

Title

President

Phone

(541) 265-3175

Specialties & licenses 1

Addresses

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

Tax ID family

Bay Cities Ambulance2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• HMW Services, Inc.

  • Transportation Broker
  • Coos Bay, OR
  • NPI 1548703655
  NPD tax ID

Locations

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1992891980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 NW COAST ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653409",
            "telephone_number": "541-265-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 OCEAN BLVD SE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974203537",
            "telephone_number": "541-265-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY CITIES AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "FUITEN",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-265-3175",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Area Hospital District
• Bay Area Hospital District
• Bay Area Hospital District
• Bay Area Radiation Oncology PC
• Bay Area Radiology PC
• Bay Clinic
• Bay Group Anesthesia Services, PC
• Bee Mental Wellness
• Richard E Beechly, CRNA
• Kevin Paul Behr

• All providers in Coos Bay, OR
• Land Ambulance in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.