| NPI | 1730280447 |
|---|---|
| Former Legal Business Name | LINCOLN CITY AMBULANCE |
| Entity Type | Organization |
| Authorized Contact | J D FUITEN Owner 541-648-6658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance Land Transport (Licence: OR 2102) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: OR 2102) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2015-09-02 |