Sweet Home Fire & Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2205-06 Issued in OR

Legal business name

SWEET HOME FIRE & AMBULANCE DISTRICT

Practice address

1099 Long St
Sweet Home, OR 97386-2118

Phone

(541) 367-5882

Fax

(541) 367-7265

NPI assigned

May 11, 2006

Last updated

Mar 3, 2017By 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

David J Barringer

Title

Fire Chief

Phone

(541) 367-5882

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1467402297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 LONG ST",
            "city": "SWEET HOME",
            "state": "OR",
            "postal_code": "973862118",
            "telephone_number": "541-367-5882",
            "fax_number": "541-367-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 LONG ST",
            "city": "SWEET HOME",
            "state": "OR",
            "postal_code": "973862118",
            "telephone_number": "541-367-5882",
            "fax_number": "541-367-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET HOME FIRE & AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "BARRINGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "541-367-5882"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "2205-06",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228772",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA -RR MEDICARE",
            "identifier": "590014688",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa M Steinback, CRM
• Cayla Stoering, MA
• Michael Wayne Stoner, O.D.
• Shannon Marie Strubhar, CD(DONA)
• Sweet Home Clinic LLC (Ridgeway Health)
• Sweet Home MC LLC (Wiley Creek Memory Care)
• Sweet Home School District 55
• Carla Tadewaldt, LMFT
• Ashley Nichole Tenbusch, RN
• Darren H Terry, PTA

• Land Ambulance in Sweet Home, OR
• Providers in Sweet Home, OR by specialty
• Land Ambulance in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.