# SWEET HOME FIRE & AMBULANCE DISTRICT

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

## Provider details

- **NPI number:** 1467402297
- **Authorized official:** DAVID J BARRINGER (FIRE CHIEF)
- **Authorized official phone:** (541) 367-5882

## Contact information

- **Practice address:** 1099 LONG ST, SWEET HOME, OR 97386-2118
- **Practice address phone:** (541) 367-5882
- **Practice address fax:** (541) 367-7265
- **Mailing address:** 1099 LONG ST, SWEET HOME, OR 97386-2118
- **Mailing address phone:** (541) 367-5882
- **Mailing address fax:** (541) 367-7265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 2205-06 | OR | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 03/03/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 228772 | — | OR |
| 01 | — | 590014688 | PALMETTO GBA -RR MEDICARE | OR |