Organization
SUNRIVER SERVICE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROD BJORVIK (FIRE CHIEF)
(541) 593-8622
Entity
Organization
Contact information
Practice address
57475 ABBOT DR, SUNRIVER, OR 97707-4108
(541) 593-8622
Mailing address
PO BOX 2108, SUNRIVER, OR 97707-4108
(541) 593-8622
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
E224737
OR
3416L0300X
Land Ambulance
Primary
T509774
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006474
—
OR
01
—
122804
OMAP
OR
01
—
206476
DHS EDI
OR
Enumeration date
05/10/2007
Last updated
10/03/2007
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