Organization Active NPI

City of Oregon

Doing business as Oregon Fire Department

  • Land Ambulance
  • Oregon, OH
National Provider Identifier
1306279534
Registry record updated Aug 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131022001601 OH Part B Supplier - Ambulance Service Supplier 2860627171 Practice locations: Oregon, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2301221Oregon Fire and Rescue Department1040 S Wynn Rd, Oregon, OH 43616Certificate of waiverMar 21, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.