Provider Demographics
NPI:1255415261
Name:CITY OF UNION
Entity type:Organization
Organization Name:CITY OF UNION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CITY ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:WRABEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-562-5197
Mailing Address - Street 1:PO BOX 529
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:OR
Mailing Address - Zip Code:97883-0529
Mailing Address - Country:US
Mailing Address - Phone:541-562-5197
Mailing Address - Fax:541-562-5196
Practice Address - Street 1:342 S MAIN ST
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:OR
Practice Address - Zip Code:97883
Practice Address - Country:US
Practice Address - Phone:541-562-5197
Practice Address - Fax:541-562-5196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR028928Medicaid
OR028928Medicaid