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Organization

NORTH DOUGLAS COUNTY FIRE AND EMS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT M SHANNON (CHIEF)
(541) 836-2282
Entity
Organization

Contact information

Practice address
531 S CEDAR ST., DRAIN, OR 97435
(541) 836-2282
(541) 836-2292
Mailing address
PO BOX 277, DRAIN, OR 97435-0277
(541) 836-2282
(541) 836-2292

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0006-06
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013427000
BLUE CROSS BLUE SHIELD
OR
05
135546
OR
01
590010959
PALMETTO GBA
OR
Enumeration date
12/08/2006
Last updated
02/04/2013
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