# SOUTH LANE COUNTY FIRE AND RESCUE

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

## Provider details

- **NPI number:** 1578562112
- **Authorized official:** LEESA DOERRIE (AMBULANCE BILLING CLERK)
- **Authorized official phone:** (541) 942-4493

## Contact information

- **Practice address:** 233 E HARRISON AVE, COTTAGE GROVE, OR 97424-2473
- **Practice address phone:** (541) 942-4493
- **Practice address fax:** (541) 942-3367
- **Mailing address:** 233 E HARRISON AVE, COTTAGE GROVE, OR 97424-2473
- **Mailing address phone:** (541) 942-4493
- **Mailing address fax:** (541) 942-3367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 2002-06 | OR | Yes |

## Other

- **Enumeration date:** 07/15/2005
- **Last updated:** 08/03/2021