# SUNRIVER SERVICE DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154535946
- **Authorized official:** ROD BJORVIK (FIRE CHIEF)
- **Authorized official phone:** (541) 593-8622

## Contact information

- **Practice address:** 57475 ABBOT DR, SUNRIVER, OR 97707-4108
- **Practice address phone:** (541) 593-8622
- **Mailing address:** PO BOX 2108, SUNRIVER, OR 97707-4108
- **Mailing address phone:** (541) 593-8622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | E224737 | OR | — |
| 3416L0300X | Land Ambulance | T509774 | OR | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 10/03/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 006474 | — | OR |
| 01 | — | 122804 | OMAP | OR |
| 01 | — | 206476 | DHS EDI | OR |