Organization Active NPI

Lebanon Fire District

  • Land Ambulance
  • Lebanon, OR
National Provider Identifier
1366496853
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
LEBANON FIRE DISTRICT
Practice address
1050 W Oak St
Lebanon, OR 97355-1769
Phone
(541) 451-1901
Fax
(541) 451-6101
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Desiree Barker
Title
Chief Administrative Officer
Phone
(541) 451-1901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1050 W Oak St
Lebanon, OR 97355-1769

Mailing address

PO Box 788
Medford, OR 97501-0057
Phone (541) 451-1901

Other identifiers 2

IdentifierTypeStateIssuer
590004379OtherORRAILROAD MEDICARE
027573MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060828000011 OR Part B Supplier - Ambulance Service Supplier 0749284172 Practice locations: Lebanon, 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
38D0688296Lebanon Fire District1050 W Oak St, Lebanon, OR 97355Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory

Locations

1050 W Oak St
Lebanon, OR 97355
Phone (541) 451-1901

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1366496853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010057",
            "telephone_number": "541-451-1901",
            "fax_number": "541-451-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W OAK ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973551769",
            "telephone_number": "541-451-1901",
            "fax_number": "541-451-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "541-451-1901"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590004379",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027573",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.