Organization Name: | RAGER EMERGENCY SERVICES, LTD |
NPI Number: | 1477862266 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JODIE FLECK (PRESIDENT) |
Mailing Address: | 68880 Se Paulina City Rd Paulina |
State: | OR US |
Postal Code: | 977512106 |
Phone Number: | 5414773237 |
Fax Number: | 5414773238 |
NPI Enumeration Date: | 09/28/2010 |
NPI Last Update Date: | 12/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 0705 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |