Klamath County Fire District No 1

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1819 Issued in OR

Legal business name

KLAMATH COUNTY FIRE DISTRICT NO 1

Practice address

143 N Broad Street
Klamath Falls, OR 97601

Phone

(541) 851-0234

Fax

(541) 884-6920

NPI assigned

Oct 4, 2006

Last updated

Jun 17, 2021By 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

Phillip Hull

Title

Director of Administrative Services

Phone

(541) 885-2056

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• MUN Other 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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1245325059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1930",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "97601",
            "telephone_number": "541-851-0234",
            "fax_number": "541-884-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 N BROAD STREET",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "97601",
            "telephone_number": "541-851-0234",
            "fax_number": "541-884-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLAMATH COUNTY FIRE DISTRICT NO 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "541-885-2056"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OR",
            "license": "1819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590003349",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "XMTE06364",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158891",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "R101969",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MUN",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MUN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Klamath Child Nad Family Treatment Center (Klamath Youth Development Center)
• Klamath Chiropractic Physicians
• Klamath Counseling Services
• Klamath County (Klamath County Public Health Department)
• Klamath County Fire Dist No 4
• Klamath County Health Dept.
• Klamath County Juvenile Department
• Klamath County School District
• Klamath County School District
• Klamath Fa Mily Practice Center PC

• Ambulance in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Ambulance in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.