| Organization Name: | SOUTH GILLIAM COUNTY AMBULANCE |
| NPI Number: | 1467505883 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CINDY HESS (INSURANCE CLERK) |
| Mailing Address: | 422 N Main Condon |
| State: | OR US |
| Postal Code: | 978230085 |
| Phone Number: | 5413842061 |
| Fax Number: | |
| NPI Enumeration Date: | 01/19/2007 |
| NPI Last Update Date: | 05/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 1104 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |