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Organization
NORTH DOUGLAS COUNTY FIRE AND EMS
Active
Organization
NORTH DOUGLAS COUNTY FIRE AND EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT M SHANNON (CHIEF)
(541) 836-2282
Entity
Organization
Contact information
Practice address
531 S CEDAR ST., DRAIN, OR 97435
(541) 836-2282
(541) 836-2292
Mailing address
PO BOX 277, DRAIN, OR 97435-0277
(541) 836-2282
(541) 836-2292
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0006-06
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013427000
BLUE CROSS BLUE SHIELD
OR
05
—
135546
—
OR
01
—
590010959
PALMETTO GBA
OR
Enumeration date
12/08/2006
Last updated
02/04/2013
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