Active NPI
Parkdale Rural Fire Protection District
- Ambulance
- Parkdale, OR
National Provider Identifier
1306916960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1404
- Legal business name
- PARKDALE RURAL FIRE PROTECTION DISTRICT
- Practice address
- 4895 Baseline Dr
Parkdale, OR 97041-0040 - Phone
- (541) 352-6092
- NPI assigned
- Nov 9, 2006
- Last updated
- Aug 22, 2020
- 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
- Mike McCafferty
- Title
- Fire Chief
- Phone
- (541) 352-6092
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1404 | OR | Primary |
Addresses
Primary practice location
4895 Baseline Dr
Parkdale, OR 97041-0040
Mailing address
PO Box 40
Mount Hood Parkdale, OR 97041-0040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040127000788 | OR | Part B Supplier - Ambulance Service Supplier | 1658274865 | Practice locations: Mount Hood Parkdale, OR |
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 |
|---|---|---|---|
| 38D0975766 | Parkdale Rural Fire Protection District | Certificate of waiver | Jul 16, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Parkdale Rural Ambulance Service
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Parkdale, OR
- NPI 1689756637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306916960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40",
"city": "MOUNT HOOD PARKDALE",
"state": "OR",
"postal_code": "970410040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4895 BASELINE DR",
"city": "PARKDALE",
"state": "OR",
"postal_code": "970410040",
"telephone_number": "541-352-6092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKDALE RURAL FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCCAFFERTY",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "541-352-6092"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "OR",
"license": "1404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parkdale, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.