Columbia River Fire & Rescue

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

050606 Issued in OR

Legal business name

COLUMBIA RIVER FIRE & RESCUE

Practice address

105 South 12TH Street
St Helens, OR 97051-2022

Phone

(503) 397-2990

Fax

(503) 397-3198

NPI assigned

Feb 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jay Munson Tappan

Title

Fire Chief Columbia River Fire

Phone

(503) 397-2900

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• St Helens Rural Fire District Former legal business name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

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

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336114172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 COLUMBIA BLVD",
            "city": "ST HELENS",
            "state": "OR",
            "postal_code": "970512022",
            "telephone_number": "503-397-2990",
            "fax_number": "503-397-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SOUTH 12TH STREET",
            "city": "ST HELENS",
            "state": "OR",
            "postal_code": "970512022",
            "telephone_number": "503-397-2990",
            "fax_number": "503-397-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA RIVER FIRE & RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAPPAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "MUNSON",
        "authorized_official_title_or_position": "FIRE CHIEF COLUMBIA RIVER FIRE",
        "authorized_official_telephone_number": "503-397-2900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "050606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF SOCIAL AND HEALTH",
            "identifier": "9020207",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR BLACK LUNG",
            "identifier": "0061356",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222661",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Helens Rural Fire District",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Columbia County Child Abuse Assessment Center (Amani Center)
• Columbia County SD #502
• Columbia Family Vision Care LLC (GW Curnutt & Associates)
• Columbia Health Services
• Columbia Hearing Center
• Columbia River Natural Medicine, LLC
• Columbia Sexual Assault Response Network (C-Sarn) (C-Sarn)
• Comforting Medical Supply, LLC
• Jeff Conn, CCC-SLP
• Sara Alicia Cooley, QMHP-R

• Land Ambulance in Saint Helens, OR
• Providers in Saint Helens, OR by specialty
• Land Ambulance in Oregon

• 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.