MID VALLEY AMBULANCE SERVICE INC. (NPI# 1104304682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104304682 |
| Entity Type | Organization |
| Organization Name | MID VALLEY AMBULANCE SERVICE INC. |
| Practice Address |
4034 Main St Springfield OR 97478-6456 |
| Mailing Address |
3505 Ocean Blvd Se Coos Bay OR 97420-3537 |
| Practice Telephone | 5417474025 |
| Mailing Telephone | 5412664300 |
| Mailing Fax Number | 5412670831 |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |
| Authorized Official Name | JD FUITEN (OWNER) |
| Authorized Official Telephone | 5416486658 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
3639 | OR | Transportation Services |
| Street Address |
4034 MAIN ST |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97478-6456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588225155 | Mckenzie Dental Center | Dentist | 110 S. 59th St, Springfield, OR 97478 | 2019-06-25 |
| 1831691310 | Michael Ryan Odle | Psychologist | 36716 Oak Point Rd, Springfield, OR 97478 | 2018-03-01 |
| 1639612880 | Icco LLC | Clinic/Center | 5781 Main Street, Springfield, OR 97478 | 2016-11-21 |
| 1639529258 | Nate John Sutherland | Behavioral Analyst | 37770 Upper Creek Road, Springfield, OR 97478 | 2016-06-14 |
| 1457760134 | Leah Rybolt | Physical Therapist | 145 South 52nd Place, Springfield, OR 97478 | 2014-08-07 |
| 1972918423 | Loree Lynn Howard | Case Manager/Care Coordinator | 4145 Jasper Road, Springfield, OR 97478 | 2014-06-24 |
| 1245589753 | Sarah M Boothe | Doula | 870 S 46th St, Springfield, OR 97478 | 2012-08-30 |
| 1902155401 | Dani Maree Hill | Pharmacist | 5744 Main Street, Springfield, OR 97478 | 2012-08-30 |
| 1295005312 | Express Services Unlimited, Inc. | Non-emergency Medical Transport (VAN) | 37506 Hills Creek Road, Springfield, OR 97478 | 2012-01-05 |
| 1255524468 | Leeann D Fields | Licensed Practical Nurse | 3318 Lakeview Dr, Eugene, OR 97478 | 2007-08-21 |
| Find all providers in zip 97478 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1285785402 | Springfield Ambulance Corps | Ambulance | 201 Saxer Ave, Springfield, PA 19064-3143 | 2007-01-15 |
| 1720008006 | Springfield Vol Fire and Rescue Inc | Ambulance | 505 S 1 St Street, Springfield, NE 68059 | 2006-07-20 |
| 1710910971 | National Ambulance, LLC | Ambulance | 425 Saint James Ave, Springfield, MA 01109-3829 | 2006-07-09 |
| 1619911971 | American Medical Response of Massachusetts Inc | Ambulance | 595 Cottage St, Springfield, MA 01104-3220 | 2006-06-16 |
| 1225084510 | City of Springfield | Ambulance | 14 N Marshall Ave, Springfield, MN 56087-1519 | 2006-05-26 |
| 1215902606 | Am-b-chair, Inc | Ambulance | 2153 East Columbus Ave, Springfield, MA 01104 | 2006-02-21 |
| 1417936345 | Green Twp Trustees | Ambulance | 6215 Springfield Xenia Rd, Springfield, OH 45502-8142 | 2006-01-10 |
| 1568452431 | Robertson County Government Finance Office | Ambulance | 1305 Hill St, Springfield, TN 37172-3200 | 2005-10-24 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97478 |
Please comment or provide details below to improve the information on MID VALLEY AMBULANCE SERVICE INC..
| 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.