Organization
EAST UMATILLA COUNTY AMBULANCE AREA HEALTH DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY TODD ROST RN (ADMINISTRATOR)
(541) 566-3813
Entity
Organization
Contact information
Practice address
431 E MAIN STREET, ATHENA, OR 97813-0640
(541) 566-3813
(877) 469-6944
Mailing address
PO BOX 640, ATHENA, OR 97813-0640
(541) 566-3813
(877) 469-6944
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
3004
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208769
—
OR
Enumeration date
04/06/2017
Last updated
04/06/2017
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