Active NPI
City of Fossil
Doing business as City of Fossil Volunteer Ambulance
- Ambulance
- Fossil, OR
National Provider Identifier
1326219171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3501
- Legal business name
- CITY OF FOSSIL
- Doing business as
- City of Fossil Volunteer Ambulance
- Practice address
- 401 Main Street
Fossil, OR 97830 - Phone
- (541) 763-2698
- Fax
- (541) 763-2124
- NPI assigned
- Mar 20, 2008
- Last updated
- Mar 17, 2026
- 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
- Lea Irene Rae Moyer
- Title
- City Recorder
- Phone
- (541) 763-2698
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3501 | OR | Primary |
Addresses
Primary practice location
401 Main Street
Fossil, OR 97830
Mailing address
PO Box 467
Fossil, OR 97830-0467
Phone (541) 763-2698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000RGBDD | Other | OR | MEDICARE PIN |
Other names 1
- City of Fossil Volunteer Ambulance
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 |
|---|---|---|---|
| 38D0974557 | Fossil Volunteer Ambulance | Certificate of waiver | Jun 8, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773705600000",
"number": "1326219171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 467",
"city": "FOSSIL",
"state": "OR",
"postal_code": "978300467",
"telephone_number": "541-763-2698",
"fax_number": "541-763-2124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MAIN STREET",
"city": "FOSSIL",
"state": "OR",
"postal_code": "97830",
"telephone_number": "541-763-2698",
"fax_number": "541-763-2124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF FOSSIL",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-20",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A",
"authorized_official_last_name": "MOYER",
"authorized_official_first_name": "LEA",
"authorized_official_middle_name": "IRENE RAE",
"authorized_official_title_or_position": "CITY RECORDER",
"authorized_official_telephone_number": "541-763-2698"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "OR",
"license": "3501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "0000RGBDD",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "City of Fossil Volunteer Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fossil, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.