Southwestern Polk County Rural Fire Protection District

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

SOUTHWESTERN POLK COUNTY RURAL FIRE PROTECTION DISTRICT

Doing business as

SW Polk Fire District

Practice address

15455 Salt Creek Rd
Dallas, OR 97338-9246

Phone

(503) 925-4275

NPI assigned

Jan 12, 2022

Organization subpart

No

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

Authorized official

Name

Fred Hertel

Title

Fire Chief

Phone

(503) 925-4275

Specialties & licenses 1

Addresses

Other names 1

• SW Polk Fire District Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1336890128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15455 SALT CREEK RD",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973389246",
            "telephone_number": "503-925-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 SALT CREEK RD",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973389246",
            "telephone_number": "503-925-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN POLK COUNTY RURAL FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "HERTEL",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "503-925-4275"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SW Polk Fire District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Sloan, M.S.
• Danielle J Smallwood, PSS
• Jody A Smith, BA
• Jennifer Ann Sneeuwjagt, DC
• Alfredo Jose Soto, M.D.
• Sparrow Professional Development & Counseling Center
• Gina Squires
• Andrew Stark
• Beca Maray Stearns
• Matthew Scott Steinmetz, M.S.W.

• Ambulance in Dallas, OR
• Providers in Dallas, OR by specialty
• Ambulance in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.