Organization
KLAMATH COUNTY FIRE DIST NO 4
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY NIXON CMA (MEDICAL LEGAL REP)
(541) 882-6984
Entity
Organization
Contact information
Practice address
4041 BALSAM DR, KLAMATH FALLS, OR 97601-5406
(541) 884-1670
(541) 850-9792
Mailing address
2261 SOUTH 6TH STREET, SUITE 2, KLAMATH FALLS, OR 97601
(541) 882-6984
(541) 884-7585
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
E219377
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031174
—
OR
Enumeration date
10/25/2006
Last updated
07/12/2012
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