CITY OF LA GRANDE
NPI 1629165865
Ambulance - Land Transport in La Grande, OR

Active since October 09, 2006CLIA 38D0936720 · Waiver
1806 COVE AVENUE, LA GRANDE, OR 97850(541) 963-3123(541) 963-2192 Get Directions Write a Review

NPPES record last updated: March 1, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About City Of La Grande NPPES

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

CITY OF LA GRANDE (NPI 1629165865) is a healthcare organization registered as a land transport in La Grande, Oregon and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Bruce L Weimer, Fire Chief, as its authorized official.

NPPES Registry Identity

NPI1629165865
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCITY OF LA GRANDE
Location Address1806 COVE AVENUELa Grande, OR 97850-3517
Mailing AddressPo Box 670La Grande, OR 97850-3517 · (541) 963-3123 · Fax (541) 963-2192
Fax(541) 963-2192
Organization SubpartNo
Authorized OfficialBruce L WeimerFire Chief · (541) 963-3123
Enumeration DateOctober 9, 2006
Last NPPES UpdateMarch 1, 2010
NPI 1629165865 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 · 3103
1806 COVE AVENUE, La Grande, OR 97850

Other Identifiers 2

Medicaid230921OR
Medicare PINR112518OR

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 38D0936720

City Of La Grande Fire Department · La Grande, OR
Active · expires Dec 31, 2027
CLIA Number38D0936720
Laboratory TypeAmbulance
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorEmmitt Cornford
Laboratory Phone(541) 963-3123
Laboratory LocationCity Of La Grande Fire Department1806 Cove Avenue, La Grande, OR 97850
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 4

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.
4,247 services499 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.
451 services342 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.
337 services233 patients
Advanced life support, level 2 (als 2) A0433
Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.
13 services13 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 City Of La Grande's NPI number?

The NPI number for City Of La Grande is 1629165865. It was assigned to this organization in the NPPES registry on October 9, 2006.

Where is City Of La Grande located?

City Of La Grande is located at 1806 Cove Avenue, La Grande, OR 97850. The listed phone number is (541) 963-3123.

What is City Of La Grande's specialty?

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

Does City Of La Grande hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0936720) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for City Of La Grande was last updated on March 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.