Organization
CITY OF CASCADE LOCKS
Active
Other names
Cascade Locks Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J LOGAN (FIRE CHIEF/ EMT-I)
(541) 374-8510
Entity
Organization
Contact information
Practice address
140 WA-NA-PA ST., CASCADE LOCKS, OR 97014
(541) 374-8510
(541) 374-8152
Mailing address
PO BOX 308, CASCADE LOCKS, OR 97014-0308
(541) 374-8510
(541) 374-8152
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1401-06
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006050000
BLUE CROSS / BLUE SHIELD
—
05
—
027979
—
OR
01
—
590014058
PALMETTO GBA
—
Enumeration date
10/17/2006
Last updated
04/02/2024
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