# PARKDALE RURAL AMBULANCE SERVICE

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

## Provider details

- **NPI number:** 1689756637
- **Authorized official:** MR. CRAIG DANNER EMT (EMT)
- **Authorized official phone:** (541) 352-6092

## Contact information

- **Practice address:** 4895 BASELINE DR, PARKDALE, OR 97041
- **Practice address phone:** (541) 352-6092
- **Mailing address:** 4895 BASELINE DR, PARKDALE, OR 97041
- **Mailing address phone:** (541) 352-6092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 1404-06 | OR | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 151936 | — | OR |