# CITY OF COQUILLE

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

## Provider details

- **NPI number:** 1770652737
- **Authorized official:** DAVID ALLEN WADDINGTON (FIRE CHIEF)
- **Authorized official phone:** (541) 396-2232

## Contact information

- **Practice address:** 89 W 3RD ST, COQUILLE, OR 97423-1266
- **Practice address phone:** (541) 396-2232
- **Practice address fax:** (541) 824-0129
- **Mailing address:** 89 W 3RD ST, P.O. BOX 263, COQUILLE, OR 97423-1266
- **Mailing address phone:** (541) 396-2232
- **Mailing address fax:** (541) 824-0129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0604 | OR | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 06/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 029090 | — | OR |