Provider Demographics
NPI:1477862266
Name:RAGER EMERGENCY SERVICES, LTD
Entity Type:Organization
Organization Name:RAGER EMERGENCY SERVICES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JODIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FLECK
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-I
Authorized Official - Phone:541-477-3237
Mailing Address - Street 1:PO BOX 3
Mailing Address - Street 2:
Mailing Address - City:PAULINA
Mailing Address - State:OR
Mailing Address - Zip Code:97751-0003
Mailing Address - Country:US
Mailing Address - Phone:541-477-3237
Mailing Address - Fax:541-477-3238
Practice Address - Street 1:68880 SE PAULINA CITY RD
Practice Address - Street 2:
Practice Address - City:PAULINA
Practice Address - State:OR
Practice Address - Zip Code:97751-2106
Practice Address - Country:US
Practice Address - Phone:541-477-3237
Practice Address - Fax:541-477-3238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-28
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR07053416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport