# CITY OF CASCADE LOCKS

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

## Provider details

- **NPI number:** 1558442798
- **Authorized official:** JOHN J LOGAN (FIRE CHIEF/ EMT-I)
- **Authorized official phone:** (541) 374-8510

## Contact information

- **Practice address:** 140 WA-NA-PA ST., CASCADE LOCKS, OR 97014
- **Practice address phone:** (541) 374-8510
- **Practice address fax:** (541) 374-8152
- **Mailing address:** PO BOX 308, CASCADE LOCKS, OR 97014-0308
- **Mailing address phone:** (541) 374-8510
- **Mailing address fax:** (541) 374-8152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 1401-06 | OR | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 04/02/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 006050000 | BLUE CROSS / BLUE SHIELD | — |
| 05 | — | 027979 | — | OR |
| 01 | — | 590014058 | PALMETTO GBA | — |