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NPI Code Detail

MEDICARE: KLAMATH COUNTY FIRE DIST NO 4

MEDICARE: KLAMATH COUNTY FIRE DIST NO 4
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
1341600000XAmbulanceE219377OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053495069
Entity Type Code : Organization
Provider Name (Legal Business Name) : KLAMATH COUNTY FIRE DIST NO 4
Provider Business Mailing Address
First Line : 2261 SOUTH 6TH STREET
Second Line : SUITE 2
City : KLAMATH FALLS
State : OR
Zip : 97601
Country : US
Telephone Number : 541-882-6984
Fax Number : 541-884-7585
Provider Business Practice Location Address
First Line : 4041 BALSAM DR
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-5406
Country : US
Telephone Number : 541-884-1670
Fax Number : 541-850-9792
Authorized Official
Title or Position : MEDICAL LEGAL REP
Name : JOY NIXON
Credential : CMA
Telephone Number : 541-882-6984
Provider Enumeration Date : 10/25/2006
Last Update Date : 07/12/2012

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Directions to “KLAMATH COUNTY FIRE DIST NO 4 ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.