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SOUTH GILLIAM COUNTY AMBULANCE
NPI 1467505883
Ambulance - Land Transport in Condon, OR

Active since January 19, 2007CLIA 38D0974854 · Waiver

NPPES record last updated: May 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Gilliam County Ambulance NPPES

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

SOUTH GILLIAM COUNTY AMBULANCE (NPI 1467505883) is a healthcare organization registered as a land transport in Condon, Oregon and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through June 18, 2028 and lists Cindy Hess, Insurance Clerk, as its authorized official.

NPPES Registry Identity

NPI1467505883
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameSOUTH GILLIAM COUNTY AMBULANCE
Location Address422 N MAINCondon, OR 97823-0085
Mailing AddressPo Box 85Condon, OR 97823-0085
Phone(541) 384-2061
Organization SubpartNo
Authorized OfficialCindy HessInsurance Clerk · (541) 384-2061
Enumeration DateJanuary 19, 2007
Last NPPES UpdateMay 30, 2008
✔ NPI 1467505883 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 · 1104
422 N MAIN, Condon, OR 97823
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINW80123
Medicaid070664OR
Medicare PINR141116OR

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 38D0974854

South Gilliam County Ambulance Service · Condon, OR
Active · expires Jun 18, 2028
CLIA Number38D0974854
Laboratory TypeAmbulance
Certificate Effective DateJune 19, 2026
Certificate Expiration DateJune 18, 2028
Laboratory DirectorJames M Edwards
Laboratory Phone(541) 384-5555
Laboratory LocationSouth Gilliam County Ambulance Service200 N Main St, Condon, OR 97823
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.
3,975 services39 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
29 services24 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.
27 services16 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA HELMS M.S. QMHP CADCI
Counselor (Addiction (Substance Use Disorder))
422 N MAIN
CONDON, OR 97823
Gilliam County (541) 384-2666
BRUCE D. CARLSON
Clinic/Center (Rural Health)
422 N MAIN
CONDON, OR 97823
Gilliam County (541) 384-2061

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 South Gilliam County Ambulance's NPI number?

The NPI number for South Gilliam County Ambulance is 1467505883. It was assigned to this organization in the NPPES registry on January 19, 2007.

Where is South Gilliam County Ambulance located?

South Gilliam County Ambulance is located at 422 N Main, Condon, OR 97823. The listed phone number is (541) 384-2061.

What is South Gilliam County Ambulance's specialty?

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

Does South Gilliam County Ambulance hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0974854) is associated with this NPI, valid through June 18, 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 South Gilliam County Ambulance was last updated on May 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.