| Organization Name: | BASIN AMBULANCE SERVICE DISTRICT |
| NPI Number: | 1245324169 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAN ORR (BOARD PRESIDENT) |
| Mailing Address: | 24971 Hwy 39 Merrill |
| State: | OR US |
| Postal Code: | 97633 |
| Phone Number: | 5417985175 |
| Fax Number: | 5417985175 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 10/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 1829 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |