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SOUTH LINCOLN AMBULANCE INC. NPI 1811999535


NPI Information

NPI: 1811999535
Provider Name: SOUTH LINCOLN AMBULANCE INC.

Other Name: SOUTH LINCOLN AMBULANCE ASSOCIATION

Classification: Emergency Medical Technician, Paramedic - 146L00000X
Entity Type: Organization

CLIA Number: 38D0962276

Address:
215 W 2ND ST
YACHATS, OR
ZIP 97498
Phone: (541) 547-3266
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SOUTH LINCOLN AMBULANCE INC. is an emergency medical technician paramedic in Yachats, OR. The provider is an EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. SOUTH LINCOLN AMBULANCE INC. NPI is 1811999535. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is South Lincoln Ambulance Association.

The provider's business location address is:

215 W 2ND ST
YACHATS, OR
ZIP 97498
Phone: (541) 547-3266
Fax: (541) 547-4257

The provider's authorized official is Frances M Petrick .
The authorized official title is Ambulance Chief and has the following contact phone number (541) 547-3266.

The CLIA number assigned to this NPI record is 38D0962276 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2005 and was last updated on 12/27/2012.


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
1146L00000XEmergency Medical Technician, Paramedic2112-06OREGONYes

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
1189407MEDICAIDOREGON
2006352000OTHEROREGONBCBS
3R0000RGBGSMEDICARE ID-TYPE UNSPECIFIEDOREGON

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

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.