Organization Name: | JEFFERSON COUNTY EMERGENCY MEDICAL SERVICES DISTRICT |
NPI Number: | 1386635936 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD WAYNE HECKATHORN (MANAGER) |
Mailing Address: | 360 Sw Culver Highway Madras |
State: | OR US |
Postal Code: | 977410039 |
Phone Number: | 5414757476 |
Fax Number: | 5414757654 |
NPI Enumeration Date: | 11/02/2005 |
NPI Last Update Date: | 11/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | NO NUMBER ISSUED |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |