Organization Active NPI

Parkdale Rural Fire Protection District

  • Ambulance
  • Parkdale, OR
National Provider Identifier
1306916960
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1404 Issued in OR
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20040127000788 OR Part B Supplier - Ambulance Service Supplier 1658274865 Practice locations: Mount Hood Parkdale, OR

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
38D0975766Parkdale Rural Fire Protection District4895 Baseline Rd, Parkdale, OR 97041Certificate of waiverJul 16, 2028

National Provider Directory

National Provider Directory
Tax ID family
Parkdale Rural Ambulance Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.