# CITY OF OAKRIDGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oakridge Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134167661
- **Authorized official:** LOUIS GOMEZ (CITY ADMINISTRATOR)
- **Authorized official phone:** (541) 782-2258

## Contact information

- **Practice address:** 47592 HIGHWAY 58, OAKRIDGE, OR 97463-9740
- **Practice address phone:** (541) 782-2416
- **Practice address fax:** (541) 782-2414
- **Mailing address:** PO BOX 1410, OAKRIDGE, OR 97463-1410
- **Mailing address phone:** (541) 782-2416
- **Mailing address fax:** (541) 782-2414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 341610300X | OR | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 01/15/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 006067000 | BLUE CROSS/BLUE SHIELD | — |
| 05 | — | 143784 | — | OR |
| 01 | — | 590001977 | PALMETTO GBA | — |
