Active NPI
Sisters Rural Fire Protection District
- Land Ambulance
- Sisters, OR
National Provider Identifier
1245231760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 090305
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1079333 | Medicaid | WA | |
| 154856 | Medicaid | OR | |
| 194599400 | Other | OR | DEPARTMENT OF LABOR |
Other names 1
- Sisters-Camp Sherman Rural Fire Protection District
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100119000048 | OR | Part B Supplier - Ambulance Service Supplier | 0749322410 | Practice locations: Sisters, OR |
National Provider Directory
National Provider DirectoryLocations
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.