Active NPI
Lebanon Fire District
- Land Ambulance
- Lebanon, OR
National Provider Identifier
1366496853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590004379 | Other | OR | RAILROAD MEDICARE |
| 027573 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060828000011 | OR | Part B Supplier - Ambulance Service Supplier | 0749284172 | Practice locations: Lebanon, OR |
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 |
|---|---|---|---|
| 38D0688296 | Lebanon Fire District | Certificate of waiver | Dec 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.