Chiloquin - Agency Lake Rural Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CHILOQUIN - AGENCY LAKE RURAL FIRE PROTECTION DISTRICT

Doing business as

Chiloquin Fire and Rescue

Practice address

127 S 1St Ave
Chiloquin, OR 97624-9738

Phone

(541) 783-3860

Fax

(541) 783-3697

NPI assigned

May 9, 2016

Organization subpart

No

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

Authorized official

Name

Charles Michael Cook

Title

Fire Chief

Phone

(541) 783-3860

Specialties & licenses 1

Addresses

Other names 1

• Chiloquin Fire and Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1184070112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 437",
            "address_2": "127 S FIRST AVE",
            "city": "CHILOQUIN",
            "state": "OR",
            "postal_code": "976240437",
            "telephone_number": "541-783-3860",
            "fax_number": "541-783-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S 1ST AVE",
            "city": "CHILOQUIN",
            "state": "OR",
            "postal_code": "976249738",
            "telephone_number": "541-783-3860",
            "fax_number": "541-783-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILOQUIN - AGENCY LAKE RURAL FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "541-783-3860"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiloquin Fire and Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcy J. Ayres, R.D.
• Matthew R Backer, PHARM D
• Thomas H Barratt, DDS
• Best Behavior Services, LLC
• Paula J Brown, RN
• Chiloquin Family Practice Inc PC
• Chiloquin Volunteer Ambulance Service, Inc
• Levi Steven Cortez
• Marcus W Cox, RPH
• Amanda Dal Soglio

• Land Ambulance in Chiloquin, OR
• Providers in Chiloquin, OR by specialty
• Land Ambulance in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.