Organization
SOUTH GILLIAM COUNTY AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY HESS (INSURANCE CLERK)
(541) 384-2061
Entity
Organization
Contact information
Practice address
422 N MAIN, CONDON, OR 97823-0085
(541) 384-2061
Mailing address
PO BOX 85, CONDON, OR 97823-0085
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1104
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070664
—
OR
Enumeration date
01/19/2007
Last updated
05/30/2008
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