# CITY OF SUTHERLIN

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CITY OF SUTHERLIN
- **Other names:** City of Sutherlin
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093738080
- **Legal business name:** CITY OF SUTHERLIN
- **Authorized official:** DAVE HYLAND (FIRE CHIEF)
- **Authorized official phone:** (541) 459-1394

## Contact information

- **Practice address:** 250 S STATE ST, SUTHERLIN, OR 97479
- **Practice address phone:** (541) 459-1394
- **Practice address fax:** (541) 459-1693
- **Mailing address:** 126 E CENTRAL AVE, SUTHERLIN, OR 97479
- **Mailing address phone:** (541) 459-1394
- **Mailing address fax:** (541) 459-1693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 104106 | OR | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 02/23/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 590009447 | RAILROAD MEDICARE | — |