JEFFERSON RURAL FIRE PROTECTION DIST NPI 1588667851

NPI Information

NPI: 1588667851
Provider Name: JEFFERSON RURAL FIRE PROTECTION DIST
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 38D0898890

Address:
189 N MAIN ST
JEFFERSON, OR
ZIP 97352
Phone: (541) 327-2822
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JEFFERSON RURAL FIRE PROTECTION DIST is a land transport ambulance in Jefferson, OR. JEFFERSON RURAL FIRE PROTECTION DIST NPI is 1588667851. The provider is registered as an organization entity type.

The provider's business location address is:

189 N MAIN ST
JEFFERSON, OR
ZIP 97352
Phone: (541) 327-2822
Fax: (541) 327-2279

The provider's authorized official is Scott Shepherd .
The authorized official title is Assistant Chief and has the following contact phone number (541) 327-2822.

The CLIA number assigned to this NPI record is 38D0898890 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2005 and was last updated on 2/14/2014.

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
1	3416L0300X	Ambulance	Land Transport	244105	OREGON	Yes

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
1	R101650	MEDICARE PIN	OREGON
2	590012910	OTHER	OREGON	RAILROAD MEDICARE PIN
3	158862	MEDICAID	OREGON

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: 5/5/2024

NPI Synchronization or Removal

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