NORTHWEST WADE CORPORATION (NPI# 1033231709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033231709 |
| Entity Type | Organization |
| Organization Name | NORTHWEST WADE CORPORATION |
| Other Organization Name | COMMUNITY AMBULANCE |
| Practice Address |
9807 Se Ash St Portland OR 97216 |
| Mailing Address |
Po Box 16098 Portland OR 97292 |
| Practice Telephone | 5032417283 |
| Practice Fax Number | 5032462155 |
| Mailing Telephone | 5032417283 |
| Mailing Fax Number | 5032462155 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2012-09-06 |
| Authorized Official Name | MS. JUNITA JEAN KAUBLE (GENERAL MANAGER AND EMERGENCY MEDIC) |
| Authorized Official Telephone | 5032417283 |
| Authorized Official Credential | EMD AND GENERAL |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | 383936 | OR | Transportation Services |
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
383936 | OR | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 149187 | 05 |
| Other Name | Type Code |
|---|---|
| Community Ambulance | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205315488 | Northwest Wade Corporation | Non-emergency Medical Transport (VAN) | 9807 Se Ash St, Portland, OR 97216 | 2018-08-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NORTHWEST WADE CORPORATION | 9807 Se Ash, Portland, OR 97216 |
| Street Address |
9807 SE ASH ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205315488 | Northwest Wade Corporation | Non-emergency Medical Transport (VAN) | 9807 Se Ash St, Portland, OR 97216 | 2018-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1396156733 | Clackamas County Fire District #1 | Ambulance | 11300 Se Fuller Rd, Milwaukie, OR 97222-1124 | 2014-05-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.