METRO WEST AMBULANCE INC NPI 1619021813

NPI Information

NPI: 1619021813
Provider Name: METRO WEST AMBULANCE, INC
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 38D0706101

Address:
5475 NE DAWSON CREEK DR
HILLSBORO, OR
ZIP 97124
Phone: (503) 648-6658
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METRO WEST AMBULANCE, INC is an ambulance in Hillsboro, OR. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). METRO WEST AMBULANCE, INC NPI is 1619021813. The provider is registered as an organization entity type.

The provider's business location address is:

5475 NE DAWSON CREEK DR
HILLSBORO, OR
ZIP 97124-797
Phone: (503) 648-6658
Fax: (503) 693-3216

The provider's authorized official is James D Fuiten .
The authorized official title is President and has the following contact phone number (503) 648-6658.

The CLIA number assigned to this NPI record is 38D0706101 - ambulance with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 9/28/2021.

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	341600000X	Ambulance				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	331391	OTHER	OREGON	PROVIDENCE HEALTH PLAN
2	112433	OTHER	TEXAS	KAISER
3	346793	MEDICAID	ARIZONA
4	626457	OTHER	VIRGINIA	ANTHEM BCBS
5	9124504	MEDICAID	WASHINGTON
6	0441184	OTHER	ARIZONA	ACS CLAIMS
7	8940085	OTHER	WASHINGTON	CRIME VICTIMS COMP PROGRA
8	GA3490R	MEDICAID	ALASKA
9	006214000	OTHER	UTAH	REGENCE BCBS OF OREGON
10	8100209	OTHER	TEXAS	EVERCARE
11	TX3490R	MEDICAID	ALASKA
12	XMTE06264	MEDICAID	CALIFORNIA
13	A112001	MEDICAID	IDAHO
14	OR0000D100344	OTHER	WASHINGTON	STATE OF WA LABOR & IND.
15	191618800	OTHER	WASHINGTON	DEPT OF LABOR & INDUSTRY
16	8100204	OTHER	GEORGIA	UNITED HEALTH CARE
17	121590	MEDICAID	OREGON
18	448760	OTHER	WISCONSIN	CHAMPUS TRICARE

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

NPI Synchronization or Removal

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