# CITY OF LA GRANDE

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

## Provider details

- **NPI number:** 1629165865
- **Authorized official:** BRUCE L WEIMER (FIRE CHIEF)
- **Authorized official phone:** (541) 963-3123

## Contact information

- **Practice address:** 1806 COVE AVENUE, LA GRANDE, OR 97850-3517
- **Practice address phone:** (541) 963-3123
- **Practice address fax:** (541) 963-2192
- **Mailing address:** PO BOX 670, LA GRANDE, OR 97850-3517
- **Mailing address phone:** (541) 963-3123
- **Mailing address fax:** (541) 963-2192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 3103 | OR | Yes |

## Other

- **Enumeration date:** 10/09/2006
- **Last updated:** 03/01/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 230921 | — | OR |