# CITY OF ELGIN

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

## Provider details

- **NPI number:** 1710068937
- **Authorized official:** JOE GARLITZ (CITY ADMINISTRATOR)
- **Authorized official phone:** (541) 437-2253

## Contact information

- **Practice address:** 180 N 8TH ST, ELGIN, OR 97827-0128
- **Practice address phone:** (541) 437-2253
- **Practice address fax:** (541) 437-2253
- **Mailing address:** PO BOX 128, ELGIN, OR 97827-0128
- **Mailing address phone:** (541) 437-2253
- **Mailing address fax:** (541) 437-2253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 3103-06 | OR | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 006108000 | BLUE CROSS/BLUE SHIELD | — |
| 05 | — | 055863 | — | OR |
| 01 | — | 756590712 | PALMETTO GBA | — |