SUNRIVER SERVICE DISTRICT NPI 1154535946

NPI Information

NPI: 1154535946
Provider Name: SUNRIVER SERVICE DISTRICT
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 38D0710981

Address:
57475 ABBOT DR
SUNRIVER, OR
ZIP 97707
Phone: (541) 593-8622
Get Directions

SUNRIVER SERVICE DISTRICT is a land transport ambulance in Sunriver, OR. SUNRIVER SERVICE DISTRICT NPI is 1154535946. The provider is registered as an organization entity type.

The provider's business location address is:

57475 ABBOT DR
SUNRIVER, OR
ZIP 97707-108
Phone: (541) 593-8622

The provider's authorized official is Rod Bjorvik .
The authorized official title is Fire Chief and has the following contact phone number (541) 593-8622.

The CLIA number assigned to this NPI record is 38D0710981 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 10/3/2007.

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	E224737	OREGON	No
2	3416L0300X	Ambulance	Land Transport	T509774	OREGON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R115968	MEDICARE ID-TYPE UNSPECIFIED	OREGON
2	006474	MEDICAID	OREGON
3	206476	OTHER	OREGON	DHS EDI
4	122804	OTHER	OREGON	OMAP

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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