# GLENDALE VOLUNTEER AMBULANCE SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Glendale Ambulance District, Glendale Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134255169
- **Authorized official:** CRAIG DARYLE BLETH (DISTRICT MANAGER)
- **Authorized official phone:** (541) 944-5440

## Contact information

- **Practice address:** 416 TUNNEL ROAD, GLENDALE, OR 97442-0495
- **Practice address phone:** (541) 832-2900
- **Practice address fax:** (541) 832-2471
- **Mailing address:** PO BOX 495, GLENDALE, OR 97442-0495
- **Mailing address phone:** (541) 832-2900
- **Mailing address fax:** (541) 832-2471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1007 | OR | Yes |
| 3416L0300X | Land Ambulance | 1007 | OR | Yes |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 02/17/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 018916 | OMAP | OR |
| 05 | — | 018916 | — | OR |