Bonanza Ambulance

LBN: Bonanza Quick Response Team
Bonanza Ambulance is an health care organization with primary practice located at 3100 E. Langell Valley Rd. , Bonanza OR 97623. The organization recently has only one registered license in Transportation Services / Ambulance, which is considered as the primary health care specialty. Bonanza Quick Response Team can be contacted via phone (541) 892-5537, or through Wiersma, Pamela Faye via phone (541) 892-8106.

Contact Information

Primary practice address
3100 E. Langell Valley Rd. Bonanza OR 97623
Phone: (541) 892-5537
Fax: (541) 545-6553
Website:
Map and Directions
Authorized official contact:
Name: Wiersma, Pamela Faye
Phone: (541) 892-8106

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Ambulance 341600000X T520620 Oregon

Profile Details

NPI number 1336218189
LBN Legal business name Bonanza Quick Response Team
DBA Doing business as Bonanza Ambulance
Authorized official Wiersma, Pamela Faye
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336218189 NPPES
Oregon MEDICAID 165100

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