Organization
CITY OF ALBANY
Active
Other names
Albany Fire Department Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WES HARE (CITY MANAGER)
(541) 917-7505
Entity
Organization
Contact information
Practice address
333 BROADALBIN STREET SW, ALBANY, OR 97321-0144
(541) 917-7710
(541) 917-7540
Mailing address
PO BOX 490, ALBANY, OR 97321-0144
(541) 917-7710
(541) 917-7540
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2201
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028829
—
OR
01
—
38D0685979
CMS CLIA
—
Enumeration date
09/14/2006
Last updated
02/01/2010
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