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Organization
CITY OF OAKRIDGE
Active
Organization
CITY OF OAKRIDGE
Active
Other names
Oakridge Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS GOMEZ (CITY ADMINISTRATOR)
(541) 782-2258
Entity
Organization
Contact information
Practice address
47592 HIGHWAY 58, OAKRIDGE, OR 97463-9740
(541) 782-2416
(541) 782-2414
Mailing address
PO BOX 1410, OAKRIDGE, OR 97463-1410
(541) 782-2416
(541) 782-2414
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
341610300X
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006067000
BLUE CROSS/BLUE SHIELD
—
05
—
143784
—
OR
01
—
590001977
PALMETTO GBA
—
Enumeration date
06/04/2006
Last updated
01/15/2013
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