Organization
MID VALLEY AMBULANCE SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JD FUITEN (OWNER)
(541) 648-6658
Entity
Organization
Contact information
Practice address
280 JEFFERSON ST, EUGENE, OR 97402-5027
(541) 747-4025
Mailing address
3505 OCEAN BLVD SE, COOS BAY, OR 97420-3537
(541) 266-4300
(541) 267-0831
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3639
OR
Other
Enumeration date
08/06/2018
Last updated
02/15/2024
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