Jefferson County Emergency Medical Services District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1601AM Issued in OR

Legal business name

JEFFERSON COUNTY EMERGENCY MEDICAL SERVICES DISTRICT

Practice address

765 S 5TH St
Madras, OR 97741-9047

Phone

(541) 475-7476

Fax

(541) 475-7654

NPI assigned

Nov 2, 2005

Organization subpart

No

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

Authorized official

Name

Michael Lepin

Title

Chief of EMS

Phone

(541) 475-7476

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Jefferson County Rural Fire Protection District

  • Land Ambulance
  • Madras, OR
  • NPI 1649970187
  NPPES parent name

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1386635936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977410011",
            "telephone_number": "541-475-7476",
            "fax_number": "541-475-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 S 5TH ST",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977419047",
            "telephone_number": "541-475-7476",
            "fax_number": "541-475-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY EMERGENCY MEDICAL SERVICES DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "LEPIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF OF EMS",
        "authorized_official_telephone_number": "541-475-7476"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "NO NUMBER ISSUED",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "1601AM",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095943",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@jeffersoncountyems.com",
            "affiliation": "N",
            "address_1": "765 S 5th St",
            "city": "Madras",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977419047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leona Ike, CRM
• William P Irvine, MD
• Lorena Jaimes-Jaramillo
• Patrick WM Jaross, QMHP
• Amy Jarvis, RN
• Jefferson County Rural Fire Protection District
• John K Ross, MD PC
• Lisa Marie Johnson, MSW
• Marissa Rose Kalama, CRM
• Fredrick Kane, LPC

• Land Ambulance in Madras, OR
• Providers in Madras, OR by specialty
• Land Ambulance in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.