Organization
CITY OF ELGIN
Active
Other names
Elgin Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
JOE GARLITZ (CITY ADMINISTRATOR)
(541) 437-2253
Entity
Organization
Contact information
Practice address
180 N 8TH ST, ELGIN, OR 97827-0128
(541) 437-2253
(541) 437-2253
Mailing address
PO BOX 128, ELGIN, OR 97827-0128
(541) 437-2253
(541) 437-2253
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3103-06
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006108000
BLUE CROSS/BLUE SHIELD
—
05
—
055863
—
OR
01
—
756590712
PALMETTO GBA
—
Enumeration date
10/17/2006
Last updated
08/22/2020
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