# BAY CITIES AMBULANCE

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

## Provider details

- **NPI number:** 1992891980
- **Authorized official:** MR. J D FUITEN (PRESIDENT)
- **Authorized official phone:** (541) 265-3175

## Contact information

- **Practice address:** 3505 OCEAN BLVD SE, COOS BAY, OR 97420-3537
- **Practice address phone:** (541) 265-3175
- **Mailing address:** 609 NW COAST ST, NEWPORT, OR 97365-3409
- **Mailing address phone:** (541) 265-3175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 01/31/2018
