Provider Demographics
NPI:1679576433
Name:CITY OF OROVILLE
Entity Type:Organization
Organization Name:CITY OF OROVILLE
Other - Org Name:CITY OF OROVILLE AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING CLERK
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-476-2926
Mailing Address - Street 1:PO BOX 2200
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98844-2200
Mailing Address - Country:US
Mailing Address - Phone:509-476-2926
Mailing Address - Fax:509-476-9067
Practice Address - Street 1:1308 IRONWOOD
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:WA
Practice Address - Zip Code:98844-2200
Practice Address - Country:US
Practice Address - Phone:509-476-2926
Practice Address - Fax:509-476-9067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA24X073416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9425208Medicaid
WA29929OtherL & I PROVIDER NUMBER
WAG000301625Medicare PIN
WA29929OtherL & I PROVIDER NUMBER