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EAGLE VALLEY AMBULANCE
NPI 1710178686
Ambulance in Richland, OR

Active since August 06, 2007CLIA 38D0719050 · Waiver
42000 MOODY RD, RICHLAND, OR 97870(541) 239-8349 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2024, Dec 4, 2019 (2 updates tracked since 2019).

About Eagle Valley Ambulance NPPES

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

EAGLE VALLEY AMBULANCE (NPI 1710178686) is a healthcare organization registered as an ambulance in Richland, Oregon and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Tammy Graven, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1710178686
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameEAGLE VALLEY AMBULANCE
Location Address42000 MOODY RDRichland, OR 97870-6601
Mailing AddressPo Box 334Richland, OR 97870 · (541) 403-2604 · Fax (541) 523-0370
Phone(541) 239-8349
Organization SubpartNo
Authorized OfficialTammy GravenTreasurer · (541) 403-2604
Enumeration DateAugust 6, 2007
Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1710178686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
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).
42000 MOODY RD, Richland, OR 97870
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Other Identifiers 1

Medicaid222216OR

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 38D0719050

Eagle Valley Ambulance · Richland, OR
Active · expires Dec 31, 2027
CLIA Number38D0719050
Laboratory TypeOther
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorJamie J. Kaesemayer
Laboratory Phone(541) 540-3294
Laboratory LocationEagle Valley Ambulance42000 Moody Road, Richland, OR 97870
CLIA data matches this NPI record on: Address 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 Eagle Valley Ambulance's NPI number?

The NPI number for Eagle Valley Ambulance is 1710178686. It was assigned to this organization in the NPPES registry on August 6, 2007.

Where is Eagle Valley Ambulance located?

Eagle Valley Ambulance is located at 42000 Moody Rd, Richland, OR 97870. The listed phone number is (541) 239-8349.

What is Eagle Valley Ambulance's specialty?

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

Does Eagle Valley Ambulance hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0719050) 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 Eagle Valley Ambulance was last updated on August 15, 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.