Active NPI
Silver Lake Rural Fire Protection District
- Ambulance
- Silver Lake, OR
National Provider Identifier
1235208083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- E222642
- Legal business name
- SILVER LAKE RURAL FIRE PROTECTION DISTRICT
- Practice address
- 53224 4TH Street
Silver Lake, OR 97638 - Phone
- (541) 882-6984
- NPI assigned
- Nov 7, 2006
- Last updated
- Sep 4, 2012
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | E222642 | OR | Primary |
Addresses
Primary practice location
53224 4TH Street
Silver Lake, OR 97638
Mailing address
2261 South 6TH Street
Suite 2
Klamath Falls, OR 97601
Phone (541) 882-6984
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070284 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130306000291 | OR | Part B Supplier - Ambulance Service Supplier | 9638324155 | Practice locations: Silver Lake, OR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346716800000",
"number": "1235208083",
"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": "53224 4TH STREET",
"city": "SILVER LAKE",
"state": "OR",
"postal_code": "97638",
"telephone_number": "541-882-6984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SILVER LAKE RURAL FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2012-09-04",
"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": "E222642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "070284",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Silver Lake, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.