Organization
SADDLE MOUNTAIN VOLUNTEER AMBULANCE SERVICE INC
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
23536 SPRAGUE RIVER ROAD, SPRAGUE RIVER, OR 97639
(541) 882-6984
(541) 884-7585
Mailing address
2261 SOUTH SIXTH STREET, SUITE 2, KLAMATH FALLS, OR 97601
(541) 882-6984
(541) 884-7585
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
BCN01011
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233836
—
OR
Enumeration date
03/30/2007
Last updated
08/22/2020
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