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Organization
CROOKED RIVER RANCH FIRE PROTECTION DISTRICT VI-503
Active
Organization
CROOKED RIVER RANCH FIRE PROTECTION DISTRICT VI-503
Active
Other names
Crooked River Ranch RFPD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK W WILSON (FIRE CHIEF)
(541) 923-6776
Entity
Organization
Contact information
Practice address
6971 SW SHAD RD, TERREBONNE, OR 97760-7792
(541) 923-6776
(541) 923-5247
Mailing address
6971 SW SHAD RD, TERREBONNE, OR 97760-7792
(541) 923-6776
(541) 923-5247
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1613-06
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081971000
BLUE CROSS/BLUE SHIELD
—
05
—
177220
—
OR
01
—
59008157
PALMETTO GBA
—
Enumeration date
10/04/2006
Last updated
04/01/2014
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