IDANHA DETROIT RURAL FIRE PROTECTION DISTRICT NPI 1912911868

NPI Information

NPI: 1912911868
Provider Name: IDANHA DETROIT RURAL FIRE PROTECTION DISTRICT

Doing Business As: IDANHA-DETROIT RFPD

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
160 DETROIT AVE N
DETROIT, OR
ZIP 97342
Phone: (503) 854-3494
Get Directions

IDANHA DETROIT RURAL FIRE PROTECTION DISTRICT is a land transport ambulance in Detroit, OR. IDANHA DETROIT RURAL FIRE PROTECTION DISTRICT NPI is 1912911868. The provider is registered as an organization entity type.
The provider Is Doing Business As Idanha-detroit Rfpd.

The provider's business location address is:

160 DETROIT AVE N
DETROIT, OR
ZIP 97342
Phone: (503) 854-3494
Fax: (503) 854-3238

The provider's authorized official is Kelly Galbraith .
The authorized official title is Office Administrator and has the following contact phone number (503) 854-3494.

The CLIA number assigned to this NPI record is 38D0973548 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 4/24/2014.

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	2401	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	093187	MEDICAID	OREGON

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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