Organization Active NPI

Sisters Rural Fire Protection District

  • Land Ambulance
  • Sisters, OR
National Provider Identifier
1245231760
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
090305 Issued in OR
Legal business name
SISTERS RURAL FIRE PROTECTION DISTRICT
Practice address
301 S Elm St
Sisters, OR 97759
Phone
(541) 549-0771
Fax
(541) 549-1343
NPI assigned
Aug 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Mr. Roger T Johnson
Title
Fire Chief
Phone
(541) 549-0771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 090305 OR Primary

Addresses

Primary practice location

301 S Elm St
Sisters, OR 97759

Mailing address

PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7020

Other identifiers 3

IdentifierTypeStateIssuer
1079333MedicaidWA
154856MedicaidOR
194599400OtherORDEPARTMENT OF LABOR

Other names 1

  • Sisters-Camp Sherman Rural Fire Protection District Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100119000048 OR Part B Supplier - Ambulance Service Supplier 0749322410 Practice locations: Sisters, OR

National Provider Directory

National Provider Directory

Locations

301 S Elm St
Sisters, OR 97759
Phone (503) 549-0771

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1245231760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3510",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983833510",
            "telephone_number": "360-394-7020",
            "fax_number": "360-394-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S ELM ST",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "97759",
            "telephone_number": "541-549-0771",
            "fax_number": "541-549-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTERS RURAL FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "541-549-0771",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "090305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1079333",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154856",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "194599400",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sisters-Camp Sherman Rural Fire Protection District",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sisters, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.