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Organization

CITY OF VALE

Active
Other names
Vale Ambulance Service
Organization subpart
No

Provider details

NPI number
Authorized official
TODD H HESSE (BILLING CLERK)
(541) 473-3796
Entity
Organization

Contact information

Practice address
252 B ST W, VALE, OR 97918-1361
(541) 473-3796
(541) 473-9667
Mailing address
252 B ST W, VALE, OR 97918-1361
(541) 473-3796
(541) 473-9667

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2302
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000839000
BLUE CROSS BLUE SHIELD
OR
05
205542
OR
Enumeration date
04/11/2007
Last updated
09/14/2010
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