Healthcare Provider Details

I. General information

NPI: 1447489539
Provider Name (Legal Business Name): WAMIC RURAL FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2009
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 S. COUNTY RD.
TYGH VALLEY OR
97063-9701
US

IV. Provider business mailing address

11 S COUNTY RD
TYGH VALLEY OR
97063-9749
US

V. Phone/Fax

Practice location:
  • Phone: 541-544-2338
  • Fax:
Mailing address:
  • Phone: 541-544-2338
  • Fax: 541-544-2020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: JAMIE MAGILL
Title or Position: OFFICE MANAGER
Credential:
Phone: 541-544-2338