BONANZA QUICK RESPONSE TEAM (NPI# 1336218189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336218189 |
| Entity Type | Organization |
| Organization Name | BONANZA QUICK RESPONSE TEAM |
| Other Organization Name | BONANZA AMBULANCE |
| Practice Address |
3100 E. Langell Valley Rd. Bonanza OR 97623 |
| Mailing Address |
Po Box 363 Bonanza OR 97623 |
| Practice Telephone | 5418925537 |
| Practice Fax Number | 5415456553 |
| Mailing Telephone | 5418925537 |
| Mailing Fax Number | 5415456553 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2016-07-08 |
| Authorized Official Name | PAMELA FAYE WIERSMA (PRESIDENT) |
| Authorized Official Telephone | 5418928106 |
| Is Organization Subpart | Y |
| Parent Organization Name | BONANZA QUICK RESPONSE TEAM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | T520620 | OR | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 165100 | 05 |
| Other Name | Type Code |
|---|---|
| Bonanza Ambulance | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BONANZA QUICK RESPONSE TEAM | Bonanza Quick Response Team, 3100 E Langell Valley Rd, Bonanza, OR 97623 |
| Street Address |
3100 E. LANGELL VALLEY RD. |
| City | BONANZA |
| State | OR |
| Zip Code | 97623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730181926 | Merrill Clinic | Clinic/Center | 31863 Hwy 70, Bonanza, OR 97623-0440 | 2005-06-01 |
| 1528499696 | Klamath Lake County Youth Ranch | Residential Treatment Facility, Emotionally Disturbed Children | 5800 Happy Hollow Ln, Bonanza, OR 97623-7714 | 2013-11-27 |
| 1558662585 | Scott Bryan Munson | Registered Nurse | 4990 Haskins Rd, Bonanza, OR 97623-9735 | 2010-11-08 |
| 1023655396 | Adam Warren Anson | Acupuncturist | 24985 Hwy 140 E, Bonanza, OR 97623-9744 | 2019-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659861094 | Pro-care Family Health of Arkansas, LLC | Family Medicine | 706 Sherwood Ave, Bonanza, AR 72916-3420 | 2018-05-10 |
| 1285946004 | William Justin Hayes Md Pa | Clinic/Center | 920 S. Hwy 45, Bonanza, AR 72916 | 2010-07-09 |
| 1386976850 | Brittney Beland Jackson | Nurse Practitioner | 920 S Highway 45, Bonanza, AR 72916-3420 | 2010-02-08 |
| 1184256679 | River Valley Primary Care Services | Clinic/Center | 920 S Highway 45, Bonanza, AR 72916-3420 | 2020-02-12 |
| 1972967883 | Elizabeth L Banda Aprn Np-c LLC | Nurse Practitioner | 920 S Highway 45, Bonanza, AR 72916-3420 | 2016-04-06 |
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| 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). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093277188 | City of Lake Oswego | Ambulance | 4900 Melrose St, Lake Oswego, OR 97035-2336 | 2019-04-05 |
| 1861991705 | Banks Fire District #13 | Ambulance | 13430 Nw Main St, Banks, OR 97106-9059 | 2018-02-06 |
| 1871027805 | North Lincoln Fire & Rescue District #1 | Ambulance | 4520 Se Highway 101, Lincoln City, OR 97367-1542 | 2017-04-17 |
| 1720511710 | East Umatilla County Ambulance Area Health District | Ambulance | 431 E Main Street, Athena, OR 97813-0640 | 2017-04-06 |
| 1881136661 | City of Portland Oregon | Ambulance | 55 Sw Ash St, Portland, OR 97204-3509 | 2016-11-10 |
| 1396296406 | Lake Chinook Fire & Rescue | Ambulance | 11700 Sw Graham Rd, Culver, OR 97734 | 2016-10-24 |
| 1790135226 | Tvp Inc | Ambulance | 1147 Sw 4th Ave, Ontario, OR 97914-2129 | 2016-06-15 |
| 1710313168 | Sprinter Shuttle Service Inc | Ambulance | 251 W Idaho Ave # 55, Ontario, OR 97914-2433 | 2013-09-17 |
| 1962752485 | Cascade Medical Transport of Oregon LLC | Ambulance | 90 Se Bridgeford Blvd, Space F, Bend, OR 97702-1448 | 2012-09-12 |
| 1447489539 | Wamic Rural Fire Protection District | Ambulance | 11 S. County Rd., Tygh Valley, OR 97063-9701 | 2009-07-09 |
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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.