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SOUTHERN WASCO COUNTY AMBULANCE SERVICE INC
NPI 1376625319
Ambulance - Land Transport in Maupin, OR

Active since October 19, 2006CLIA 38D0973313 · Waiver

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Wasco County Ambulance Service Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN WASCO COUNTY AMBULANCE SERVICE INC (NPI 1376625319) is a healthcare organization registered as a land transport in Maupin, Oregon and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through May 1, 2028 and lists Virginia Ann Fuller, Secretary, as its authorized official.

NPPES Registry Identity

NPI1376625319
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameSOUTHERN WASCO COUNTY AMBULANCE SERVICE INC
Location Address390 3RD STMaupin, OR 97037-9246
Mailing AddressPo Box 3510Silverdale, WA 98383-3510 · (360) 394-7030 · Fax (360) 394-7094
Phone(541) 395-2598
Organization SubpartNo
Authorized OfficialVirginia Ann FullerSecretary · (541) 395-2598
Enumeration DateOctober 19, 2006
Last NPPES UpdateFebruary 16, 2024
NPPES CertifiedFebruary 16, 2024
✔ NPI 1376625319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in OR · 3303-04
390 3RD ST, Maupin, OR 97037
Open in Google Maps ↗

Other Identifiers 2

Medicaid9032186WA
Medicaid179119OR

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D0973313

Southern Wasco County Ambulance Services Inc · Maupin, OR
Active · expires May 1, 2028
CLIA Number38D0973313
Laboratory TypeAmbulance
Certificate Effective DateMay 2, 2026
Certificate Expiration DateMay 1, 2028
Laboratory DirectorAlex Carr
Laboratory Phone(541) 395-2598
Laboratory LocationSouthern Wasco County Ambulance Services Inc390 3rd St, Maupin, OR 97037
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
1,456 services34 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
41 services33 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Wasco County Ambulance Service Inc's NPI number?

The NPI number for Southern Wasco County Ambulance Service Inc is 1376625319. It was assigned to this organization in the NPPES registry on October 19, 2006.

Where is Southern Wasco County Ambulance Service Inc located?

Southern Wasco County Ambulance Service Inc is located at 390 3rd St, Maupin, OR 97037. The listed phone number is (541) 395-2598.

What is Southern Wasco County Ambulance Service Inc's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Southern Wasco County Ambulance Service Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0973313) is associated with this NPI, valid through May 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Wasco County Ambulance Service Inc was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.