MEDICARE: TURNER FIRE 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	3416L0300X	Land Ambulance	2412-05	OR

Other Identifiers

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

General Provider Information

NPI Number	:	1295738532
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TURNER FIRE DISTRICT

Provider Business Mailing Address
First Line	:	7605 3RD STREET SE
Second Line	:
City	:	TURNER
State	:	OR
Zip	:	97392-9411
Country	:	US
Telephone Number	:	503-743-2190
Fax Number	:	503-743-3604

Provider Business Practice Location Address
First Line	:	7605 3RD ST SE
Second Line	:
City	:	TURNER
State	:	OR
Zip	:	97392-9411
Country	:	US
Telephone Number	:	503-743-2190
Fax Number	:	503-743-3604

Authorized Official
Title or Position	:	DIVISION CHIEF
Name	:	REBECCA SHIVERS
Credential	:
Telephone Number	:	503-743-2190

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	06/02/2022

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Directions to “TURNER FIRE DISTRICT ” Practice Location

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