Provider Demographics
NPI:1215983804
Name:RURAL METRO OF OREGON INC
Entity type:Organization
Organization Name:RURAL METRO OF OREGON INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN HORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-227-6078
Mailing Address - Street 1:PO BOX 2195
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85252-2195
Mailing Address - Country:US
Mailing Address - Phone:855-249-2841
Mailing Address - Fax:480-627-6128
Practice Address - Street 1:1790 FRONT ST NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-0720
Practice Address - Country:US
Practice Address - Phone:503-315-2260
Practice Address - Fax:503-315-2257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR24513416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORP00252689OtherRR MEDICARE
OR269942Medicaid
ORR132234Medicare PIN
ORP00252689OtherRR MEDICARE