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BAY CITIES AMBULANCE
NPI 1710004387
Ambulance in North Bend, OR

Active since March 26, 2007CLIA 38D1061045 · Waiver
1180 AIRPORT WAY, NORTH BEND, OR 97459(541) 269-1818 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bay Cities Ambulance NPPES

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

BAY CITIES AMBULANCE (NPI 1710004387) is a healthcare organization registered as an ambulance in North Bend, Oregon and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through November 7, 2026 and lists Bruce Latta, Owner, as its authorized official.

NPPES Registry Identity

NPI1710004387
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameBAY CITIES MEDICAL SUPPLY. INC.
Location Address1180 AIRPORT WAYNorth Bend, OR 97459-2063
Mailing AddressPo Box 575Coos Bay, OR 97420-0115 · (541) 269-1818 · Fax (541) 266-0386
Phone(541) 269-1818
Organization SubpartNo
Authorized OfficialBruce LattaOwner · (541) 269-1818
Enumeration DateMarch 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710004387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in OR · 0605
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
1180 AIRPORT WAY, North Bend, OR 97459
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Other Names 1

Doing Business AsBay Cities Ambulance

Other Identifiers 2

Medicaid009365OR
Medicaid177188OR

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 38D1061045

Bay Cities Ambulance · Coos Bay, OR
Active · expires Nov 7, 2026
CLIA Number38D1061045
Laboratory TypeAmbulance
Certificate Effective DateNovember 8, 2024
Certificate Expiration DateNovember 7, 2026
Laboratory DirectorJd Fuiten
Laboratory Phone(541) 269-1155
Laboratory LocationBay Cities Ambulance3505 SE Ocean Blvd, Coos Bay, OR 97420
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Bay Cities Medical Supply. Inc.'s NPI number?

The NPI number for Bay Cities Medical Supply. Inc. is 1710004387. It was assigned to this organization in the NPPES registry on March 26, 2007. The provider is doing business as Bay Cities Ambulance.

Where is Bay Cities Medical Supply. Inc. located?

Bay Cities Medical Supply. Inc. is located at 1180 Airport Way, North Bend, OR 97459. The listed phone number is (541) 269-1818.

What is Bay Cities Medical Supply. Inc.'s specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Bay Cities Medical Supply. Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D1061045) is associated with this NPI, valid through November 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bay Cities Medical Supply. Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.