# PIONEER AMBULANCE, INC

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

## Provider details

- **NPI number:** 1598469793
- **Authorized official:** JD FUITEN (OWNER)
- **Authorized official phone:** (503) 648-6658

## Contact information

- **Practice address:** 2029 WASHINGTON AVE, BAKER CITY, OR 97814-3328
- **Practice address phone:** (541) 266-4300
- **Mailing address:** 3505 OCEAN BLVD SE, COOS BAY, OR 97420-3537
- **Mailing address phone:** (541) 266-4300
- **Mailing address fax:** (503) 693-3216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 03/30/2023
- **Last updated:** 10/30/2025
