Organization
KLAMATH COUNTY FIRE DISTRICT NO 1
Active
Other names
MUN
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP HULL (DIRECTOR OF ADMINISTRATIVE SERVICES)
(541) 885-2056
Entity
Organization
Contact information
Practice address
143 N BROAD STREET, KLAMATH FALLS, OR 97601
(541) 851-0234
(541) 884-6920
Mailing address
PO BOX 1930, KLAMATH FALLS, OR 97601
(541) 851-0234
(541) 884-6920
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1819
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158891
—
OR
01
—
590003349
RR MEDICARE
OR
01
—
R101969
PTAN
OR
01
—
XMTE06364
MEDICAL
CA
Enumeration date
10/04/2006
Last updated
06/17/2021
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