Organization
CITY OF FOSSIL
Active
Other names
City of Fossil Volunteer Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
LEA IRENE RAE MOYER (CITY RECORDER)
(541) 763-2698
Entity
Organization
Contact information
Practice address
401 MAIN STREET, FOSSIL, OR 97830
(541) 763-2698
(541) 763-2124
Mailing address
PO BOX 467, FOSSIL, OR 97830-0467
(541) 763-2698
(541) 763-2124
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
3501
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000RGBDD
MEDICARE PIN
OR
Enumeration date
03/20/2008
Last updated
03/17/2026
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