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CITY OF BEND NPI 1760416358


NPI Information

NPI: 1760416358
Provider Name: CITY OF BEND

Doing Business As: CITY OF BEND AMBULANCE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 38D0696017

Address:
710 NW WALL ST
BEND, OR
ZIP 97701
Phone: (541) 322-6318
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CITY OF BEND is a land transport ambulance in Bend, OR. CITY OF BEND NPI is 1760416358. The provider is registered as an organization entity type.
The provider Is Doing Business As City Of Bend Ambulance.

The provider's business location address is:

710 NW WALL ST
BEND, OR
ZIP 97701-713
Phone: (541) 322-6318
Fax: (541) 693-2166

The provider's authorized official is Thomas Wright .
The authorized official title is Ems Supervisor and has the following contact phone number (541) 322-6387.

The CLIA number assigned to this NPI record is 38D0696017 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 2/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1343800000XSecured Medical Transport (VAN)0901OREGONNo
2343900000XNon-emergency Medical Transport (VAN)0901OREGONNo
33416L0300XAmbulanceLand Transport0901OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10000RGBBYMEDICARE ID-TYPE UNSPECIFIEDOREGON
2121202MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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