MID VALLEY AMBULANCE SERVICE INC. NPI 1104304682

NPI Information

NPI: 1104304682
Provider Name: MID VALLEY AMBULANCE SERVICE INC.
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 38D2144256

Address:
280 JEFFERSON ST
EUGENE, OR
ZIP 97402
Phone: (541) 747-4025
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MID VALLEY AMBULANCE SERVICE INC. is a land transport ambulance in Eugene, OR. MID VALLEY AMBULANCE SERVICE INC. NPI is 1104304682. The provider is registered as an organization entity type.

The provider's business location address is:

280 JEFFERSON ST
EUGENE, OR
ZIP 97402-027
Phone: (541) 747-4025

The provider's authorized official is Jd Fuiten .
The authorized official title is Owner and has the following contact phone number (541) 648-6658.

The CLIA number assigned to this NPI record is 38D2144256 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/6/2018 and was last updated on 2/15/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	3639	OREGON	Yes

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: 5/5/2024

NPI Synchronization or Removal

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