# RUFUS AMBULANCE SERVICE

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

## Provider details

- **NPI number:** 1801909767
- **Authorized official:** MR. RANDY ABSOLON (EMT)
- **Authorized official phone:** (541) 739-2321

## Contact information

- **Practice address:** 400 MAIN ST, RUFUS, OR 97050
- **Practice address phone:** (541) 739-2321
- **Practice address fax:** (541) 739-2460
- **Mailing address:** 400 MAIN ST, RUFUS, OR 97050
- **Mailing address phone:** (541) 739-2321
- **Mailing address fax:** (541) 739-2460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 2802-03 | OR | Yes |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 08/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 048490000 | BLUE CROSS OF OREGON | OR |
| 05 | — | 164087 | — | OR |
| 05 | — | 9037100 | — | WA |