MEDICARE: ROGUE RIVER RURAL FIRE PROTECTION DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	1550-06	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1407878374	OTHER	OR	NPI FOR AMBULANCE SERVICE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558668889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROGUE RIVER RURAL FIRE PROTECTION DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 1170
Second Line	:
City	:	ROGUE RIVER
State	:	OR
Zip	:	97537-1170
Country	:	US
Telephone Number	:	541-582-4411
Fax Number	:	541-582-3456

Provider Business Practice Location Address
First Line	:	5474 N RIVER RD
Second Line	:
City	:	GOLD HILL
State	:	OR
Zip	:	97525-5734
Country	:	US
Telephone Number	:	541-582-4411
Fax Number	:	541-582-3456

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	BENNY G RAMSEY
Credential	:
Telephone Number	:	541-582-4411

Provider Enumeration Date	:	02/23/2011
Last Update Date	:	10/10/2011

Similar Medicare Providers

1407878374 — ROGUE RIVER RURAL FIRE PROTECTION DISTRICT
Practice Location Address:

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1962411918 — MR. GLENN ALEXANDER FRUM R.PH.
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1952472318 — MRS. SANDRA KAY VILLA R.N.
Practice Location Address:

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1306974035 — DR. THOMAS GLENN BROOKS DMD
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1306093265 — DR. GILBERT ALAN HICE DPM MS
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Directions to “ROGUE RIVER RURAL FIRE PROTECTION DISTRICT ” Practice Location

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