Organization
BLY RESCUE UNIT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY NIXON CMA (MEDICAL LEGAL REP)
(541) 882-6984
Entity
Organization
Contact information
Practice address
611378 HIGHWAY 140, BLY, OR 97622
(541) 882-6984
(541) 884-7585
Mailing address
2261 SOUTH 6TH STREET, SUITE 2, KLAMATH FALLS, OR 97601
(541) 882-6984
(541) 884-7585
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
E212835
OR
Other
Enumeration date
11/07/2006
Last updated
10/09/2012
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