# PACIFIC WEST AMBULANCE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Lincoln City Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730280447
- **Authorized official:** J D FUITEN (OWNER)
- **Authorized official phone:** (541) 648-6658

## Contact information

- **Practice address:** 609 NW COAST ST, NEWPORT, OR 97365
- **Practice address phone:** (541) 265-3175
- **Practice address fax:** (541) 574-5209
- **Mailing address:** 609 NW COAST ST, NEWPORT, OR 97365-3409
- **Mailing address phone:** (541) 265-3175
- **Mailing address fax:** (541) 574-5209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 2102 | OR | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | 2102 | OR | — |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 09/02/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0152169 | — | OH |
| 01 | — | 037140000 | BLUE CROSS OUT OF STATE | — |
| 01 | — | 0443326 | CONSULTEC INC | — |
| 01 | — | 080835000 | BLUE CROSS OF OREGON | OR |
| 05 | — | 100502357 | — | NV |
| 01 | — | 107959 | WASHINGTON DEPT LABOR | — |
| 01 | — | 154682 | OREGON HEALTH PLAN | OR |
| 05 | — | 154682 | — | OR |
| 01 | — | 233331 | OMAP | OR |
| 01 | — | 519374 | ODS HEALTH PLAN | — |
| 01 | — | 590004562 | RAILROAD MEDICARE | — |
| 01 | — | 806591000 | IDAHO EDS | ID |
| 01 | — | 9029034 | WA DEPT SOCIAL & HLTH SVC | WA |
| 05 | — | 9029034 | — | WA |
| 05 | — | 916801 | — | AZ |
| 05 | — | 96000625 | — | CO |
| 05 | — | N266969 | — | FL |
| 05 | — | XMTE06451 | — | CA |