POLK COUNTY FIRE DISTRICT NO.1 NPI 1376620799

NPI Information

  • NPI: 1376620799
  • Provider Name: POLK COUNTY FIRE DISTRICT NO.1
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • CLIA Number: 38D0710162
  • Address: 1800 MONMOUTH ST
    NOT APPLICABLE
    INDEPENDENCE, OR
    ZIP 97351
  • Phone: (503) 838-1510

Map and Directions

Get Directions

NPI Details

POLK COUNTY FIRE DISTRICT NO.1 is a land transport ambulance in Independence, OR. POLK COUNTY FIRE DISTRICT NO.1 NPI is 1376620799. The provider is registered as an organization entity type.

The provider's business location address is:

1800 MONMOUTH ST
NOT APPLICABLE
INDEPENDENCE, OR
ZIP 97351-700
Phone: (503) 838-1510
Fax: (503) 838-1235

The provider's authorized official is Susan Jean Shepard .
The authorized official title is Offie Administrator and has the following contact phone number (503) 838-1510.

The CLIA number assigned to this NPI record is 38D0710162 - ambulance with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ground mileage, per statute mile (HCPCS:A0425)
  • Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)
  • Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand Transport2703-06OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1119461MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI