Lake Chinook Fire & Rescue

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

LAKE CHINOOK FIRE & RESCUE

Practice address

11700 SW Graham Rd
Culver, OR 97734

Phone

(541) 629-8911

NPI assigned

Oct 24, 2016

Last updated

Oct 24, 2016By 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

Don Colfels

Title

Fire Chief

Phone

(541) 629-8911

Specialties & licenses 1

Addresses

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": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1396296406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 SW GRAHAM RD",
            "city": "CULVER",
            "state": "OR",
            "postal_code": "97734",
            "telephone_number": "541-629-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 SW GRAHAM RD",
            "city": "CULVER",
            "state": "OR",
            "postal_code": "97734",
            "telephone_number": "541-629-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CHINOOK FIRE & RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "COLFELS",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "541-629-8911"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy R Jordan, FNP
• William Geoffrey Mahnke, QMHP-R
• Cheryl L Olson
• Desiree Strawn

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.