Community Ambulance
LBN: Northwest Wade Corporation
Community Ambulance is an health care organization with primary practice located at 9807 Se Ash St , Portland OR 97216. The organization recently has 2 registered licenses in different health care specialties including Transportation Services / Land Transport, Transportation Services / Non-emergency Medical Transport (VAN). Transportation Services / Land Transport is the primary health care specialty.
Northwest Wade Corporation can be contacted via phone (503) 241-7283, or through Kauble, Junita Jean via phone (503) 241-7283.
Contact Information
Primary practice address
9807 Se Ash St
Portland OR 97216
Phone: (503) 241-7283
Fax: (503) 246-2155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Land Transport | 3416L0300X | 383936 | Oregon |
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | 383936 | Oregon |
Profile Details
| NPI number | 1033231709 |
|---|---|
| LBN Legal business name | Northwest Wade Corporation |
| DBA Doing business as | Community Ambulance |
| Authorized official | Kauble, Junita Jean EMD AND GENERAL MANA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Sep 6th, 2012 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033231709 | NPPES |
| Oregon | MEDICAID | 149187 |
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