Organization
SOUTH LINCOLN AMBULANCE INC.
Active
Other names
South Lincoln Ambulance Association
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FRANCES M PETRICK (AMBULANCE CHIEF)
(541) 547-3266
Entity
Organization
Contact information
Practice address
215 W 2ND ST, YACHATS, OR 97498
(541) 547-3266
(541) 547-4257
Mailing address
PO BOX 31, YACHATS, OR 97498-0031
(541) 547-3766
(541) 547-4257
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
2112-06
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006352000
BCBS
OR
05
—
189407
—
OR
Enumeration date
08/12/2005
Last updated
12/27/2012
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