Boardman Fire Rescue District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BOARDMAN FIRE RESCUE DISTRICT

Practice address

911 Tatone Street
Boardman, OR 97818-8029

Phone

(541) 481-3473

NPI assigned

Feb 3, 2022

Last updated

Jul 21, 2023By 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

Michael Hughes

Title

Fire Chief

Phone

(541) 481-3473

Specialties & licenses 2

Addresses

Other names 1

• Boardman Rural Fire Protection District Former legal business name

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": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1184377699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "BOARDMAN",
            "state": "OR",
            "postal_code": "978180002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 TATONE STREET",
            "city": "BOARDMAN",
            "state": "OR",
            "postal_code": "978188029",
            "telephone_number": "541-481-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARDMAN FIRE RESCUE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "541-481-3473"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boardman Rural Fire Protection District",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Boardman Rural Fire Protection District",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tiear Beenblossom
• Tyler Bendixsen, DMD
• Maegan Bennett
• Matthew Jay Bergstrom
• Jessie Blakeman
• Boardman Hardware Inc (Boardman Pharmacy)
• Robert J Boss, M.D.
• Jennifer B Brock
• Vanessa Calvillo
• Anna Carl

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.