# CITY OF NEWBERG

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

## Provider details

- **NPI number:** 1891747242
- **Authorized official:** MR. DANIEL C DANICIC (CITY MANGAER)
- **Authorized official phone:** (503) 537-1207

## Contact information

- **Practice address:** 414 E 2ND ST, NEWBERG, OR 97132-3006
- **Practice address phone:** (503) 537-1230
- **Mailing address:** 414 E 2ND ST, NEWBERG, OR 97132-3006
- **Mailing address phone:** (503) 537-1230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 3605-06 | OR | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 08/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 040097000 | BLUE CROSS/BLUE SHIELD | — |
| 05 | — | 128723 | — | OR |
| 01 | — | 590015410 | PALMETTO GBA | — |
| 01 | — | R142059 | MEDICARE ID | OR |