Active NPI
Redmond Fire & Rescue
- Land Ambulance
- Redmond, OR
National Provider Identifier
1518930643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0905
- Legal business name
- REDMOND FIRE & RESCUE
- Practice address
- 341 NW Dogwood Ave
Redmond, OR 97756-1671 - Phone
- (541) 504-5000
- Fax
- (541) 526-1254
- NPI assigned
- Feb 9, 2006
- Last updated
- Mar 3, 2022
- 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
- Diane Cox
- Title
- Administrator
- Phone
- (541) 504-5020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0905 | OR | Primary |
Addresses
Primary practice location
341 NW Dogwood Ave
Redmond, OR 97756-1671
Mailing address
341 NW Dogwood Ave
Redmond, OR 97756-1671
Phone (541) 504-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171751 | 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 |
|---|---|---|---|---|
| O20110916000127 | OR | Part B Supplier - Ambulance Service Supplier | 2860663135 | Practice locations: Redmond, 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 |
|---|---|---|---|
| 38D0856480 | Redmond Fire and Rescue | Certificate of waiver | Dec 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
341 NW Dogwood Ave
Redmond, OR 97756
Phone (541) 504-5000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646265600000",
"number": "1518930643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 NW DOGWOOD AVE",
"city": "REDMOND",
"state": "OR",
"postal_code": "977561671",
"telephone_number": "541-504-5000",
"fax_number": "541-548-5512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 NW DOGWOOD AVE",
"city": "REDMOND",
"state": "OR",
"postal_code": "977561671",
"telephone_number": "541-504-5000",
"fax_number": "541-526-1254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDMOND FIRE & RESCUE",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-09",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "541-504-5020"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "OR",
"license": "0905",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171751",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, OR
- Rebound Physical Therapy II, LLC (Rebound Physical Therapy)
- Rebound Physical Therapy Limited Partnership
- Red Rock Counseling and Treatment Services LLC
- Shannon Redden, CHW
- Redmond Alf, LLC (Brookside Place)
- Redmond Immediate Health Care LLC
- Redmond Internal Medicine Clinic,LLP (Redmond Medical Clinic)
- Redmond Long Term Care Pharmacy LLC (Redmond Long Term Care Pharmacy)
- Redmond School District
- Redmond Speech & Language Total Communication Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.