SOUTH GILLIAM COUNTY AMBULANCE NPI 1467505883

NPI Information

SOUTH GILLIAM COUNTY AMBULANCE is a land transport ambulance in Condon, OR. SOUTH GILLIAM COUNTY AMBULANCE NPI is 1467505883. The provider is registered as an organization entity type.

The provider's business location address is:

422 N MAIN
CONDON, OR
ZIP 97823-085
Phone: (541) 384-2061

The provider's authorized official is Cindy Hess .
The authorized official title is Insurance Clerk and has the following contact phone number (541) 384-2061.

The CLIA number assigned to this NPI record is 38D0974854 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 5/30/2008.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.