# JEFFERSON COUNTY EMERGENCY MEDICAL SERVICES DISTRICT

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

## Provider details

- **NPI number:** 1386635936
- **Authorized official:** MICHAEL LEPIN (CHIEF OF EMS)
- **Authorized official phone:** (541) 475-7476

## Contact information

- **Practice address:** 765 S 5TH ST, MADRAS, OR 97741-9047
- **Practice address phone:** (541) 475-7476
- **Practice address fax:** (541) 475-7654
- **Mailing address:** PO BOX 30, MADRAS, OR 97741-0011
- **Mailing address phone:** (541) 475-7476
- **Mailing address fax:** (541) 475-7654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 1601AM | OR | Yes |
| 3416L0300X | Land Ambulance | NO NUMBER ISSUED | OR | — |
| 3416L0300X | Land Ambulance | — | NULL | — |

## Other

- **Enumeration date:** 11/02/2005
- **Last updated:** 04/19/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 095943 | — | OR |