Active NPI
City of Oregon
Doing business as Oregon Fire Department
- Land Ambulance
- Oregon, OH
National Provider Identifier
1306279534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CITY OF OREGON
- Doing business as
- Oregon Fire Department
- Practice address
- 1040 S Wynn Rd
Oregon, OH 43616-3549 - Phone
- (419) 698-7020
- Fax
- (419) 698-7101
- NPI assigned
- Aug 12, 2013
- Last updated
- Aug 13, 2023
- 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
- Clayton Kenneth Obrien
- Title
- Fire Chief
- Phone
- (419) 698-7019
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
1040 S Wynn Rd
Oregon, OH 43616-3549
Mailing address
PO Box 2122
Riverview, MI 48193-1122
Phone (800) 926-6985
Other names 1
- Oregon Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131022001601 | OH | Part B Supplier - Ambulance Service Supplier | 2860627171 | Practice locations: Oregon, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2301221 | Oregon Fire and Rescue Department | Certificate of waiver | Mar 21, 2028 |
National Provider Directory
National Provider DirectoryLocations
1040 S Wynn Rd
Oregon, OH 43616
Phone (419) 698-7020
1102 S Wheeling St
Oregon, OH 43616
Phone (419) 698-7020
4421 Bayshore Rd
Oregon, OH 43616
Phone (419) 698-7020
5002 Seaman Rd
Oregon, OH 43616
Phone (419) 698-2013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691884800000",
"number": "1306279534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2122",
"city": "RIVERVIEW",
"state": "MI",
"postal_code": "481931122",
"telephone_number": "800-926-6985",
"fax_number": "734-479-6319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 S WYNN RD",
"city": "OREGON",
"state": "OH",
"postal_code": "436163549",
"telephone_number": "419-698-7020",
"fax_number": "419-698-7101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF OREGON",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-12",
"last_updated": "2023-08-13",
"certification_date": "2023-08-13",
"status": "A",
"authorized_official_last_name": "OBRIEN",
"authorized_official_first_name": "CLAYTON",
"authorized_official_middle_name": "KENNETH",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "419-698-7019"
},
"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": "Oregon Fire Department",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Oregon Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oregon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.