Central Cascades Fire & EMS

Primary specialty

ParamedicTaxonomy code 146L00000X

License

133419 Issued in OR

Legal business name

CENTRAL CASCADES FIRE & EMS

Practice address

20400 Crescent Lake Hwy
Crescent Lake, OR 97733-7044

Phone

(541) 433-2800

NPI assigned

Dec 19, 2011

Last updated

Dec 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sally R Carlson, EMT- BASIC

Title

EMS Director

Phone

(541) 433-2800

Specialties & licenses 2

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1174892210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1065",
            "city": "CRESCENT LAKE",
            "state": "OR",
            "postal_code": "977331065",
            "telephone_number": "541-433-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20400 CRESCENT LAKE HWY",
            "city": "CRESCENT LAKE",
            "state": "OR",
            "postal_code": "977337044",
            "telephone_number": "541-433-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CASCADES FIRE & EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "541-433-2800",
        "authorized_official_credential": "EMT- BASIC"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "OR",
            "license": "133419",
            "primary": true
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "OR",
            "license": "134610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Simmons
• Victoria Meadows LLC

• Paramedic in Crescent Lake, OR
• Providers in Crescent Lake, OR by specialty
• Paramedic in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.