Organization
CITY OF NEWBERG
Active
Other names
City of Newberg Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL C DANICIC (CITY MANGAER)
(503) 537-1207
Entity
Organization
Contact information
Practice address
414 E 2ND ST, NEWBERG, OR 97132-3006
(503) 537-1230
Mailing address
414 E 2ND ST, NEWBERG, OR 97132-3006
(503) 537-1230
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3605-06
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040097000
BLUE CROSS/BLUE SHIELD
—
05
—
128723
—
OR
01
—
590015410
PALMETTO GBA
—
01
—
R142059
MEDICARE ID
OR
Enumeration date
05/16/2006
Last updated
08/20/2008
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