Provider Demographics
NPI:1962599357
Name:LANE RURAL FIRE/RESCUE
Entity type:Organization
Organization Name:LANE RURAL FIRE/RESCUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:TERRENCE
Authorized Official - Middle Name:L
Authorized Official - Last Name:NEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-953-2226
Mailing Address - Street 1:P.O. BOX 398
Mailing Address - Street 2:
Mailing Address - City:VENETA
Mailing Address - State:OR
Mailing Address - Zip Code:97487
Mailing Address - Country:US
Mailing Address - Phone:541-935-2226
Mailing Address - Fax:541-935-2390
Practice Address - Street 1:29999 HALLETT ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97404
Practice Address - Country:US
Practice Address - Phone:541-935-2226
Practice Address - Fax:541-688-3937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2013-063416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR590015096OtherPALMETTO GBA
OR804484000OtherBLUE CROSS/BLUE SHIELD
OR226322Medicaid
OR226322Medicaid