1962599357 NPI number — LANE RURAL FIRE/RESCUE

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962599357 NPI number — LANE RURAL FIRE/RESCUE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LANE RURAL FIRE/RESCUE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962599357
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/26/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 398
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VENETA
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97487
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
541-935-2226
Provider Business Mailing Address Fax Number:
541-935-2390

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
29999 HALLETT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EUGENE
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-935-2226
Provider Business Practice Location Address Fax Number:
541-688-3937
Provider Enumeration Date:
10/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
NEY
Authorized Official First Name:
TERRENCE
Authorized Official Middle Name:
L
Authorized Official Title or Position:
FIRE CHIEF
Authorized Official Telephone Number:
541-953-2226

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  2013-06 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 590015096 . This is a "PALMETTO GBA" identifier , issued by the state of ( OR ) . This identifiers is of the category "OTHER".
  • Identifier: 804484000 . This is a "BLUE CROSS/BLUE SHIELD" identifier , issued by the state of ( OR ) . This identifiers is of the category "OTHER".
  • Identifier: 226322 , issued by the state of ( OR ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com