Klamath County Fire Dist No 4

Primary specialty

AmbulanceTaxonomy code 341600000X

License

E219377 Issued in OR

Legal business name

KLAMATH COUNTY FIRE DIST NO 4

Practice address

4041 Balsam Dr
Klamath Falls, OR 97601-5406

Phone

(541) 884-1670

Fax

(541) 850-9792

NPI assigned

Oct 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joy Nixon, CMA

Title

Medical Legal Rep

Phone

(541) 882-6984

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1053495069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 SOUTH 6TH STREET",
            "address_2": "SUITE 2",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "97601",
            "telephone_number": "541-882-6984",
            "fax_number": "541-884-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 BALSAM DR",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976015406",
            "telephone_number": "541-884-1670",
            "fax_number": "541-850-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLAMATH COUNTY FIRE DIST NO 4",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "MEDICAL LEGAL REP",
        "authorized_official_telephone_number": "541-882-6984",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OR",
            "license": "E219377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031174",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Klamath Child and Family Treatment Center (Phoenix Place)
• Klamath Child Nad Family Treatment Center (Klamath Youth Development Center)
• Klamath Chiropractic Physicians
• Klamath Counseling Services
• Klamath County (Klamath County Public Health Department)
• Klamath County Fire District No 1
• Klamath County Health Dept.
• Klamath County Juvenile Department
• Klamath County School District
• Klamath County School District

• Ambulance in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Ambulance in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.