Organization Active NPI

Redmond Fire & Rescue

  • Land Ambulance
  • Redmond, OR
National Provider Identifier
1518930643
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0905 Issued in OR
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
171751MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110916000127 OR Part B Supplier - Ambulance Service Supplier 2860663135 Practice locations: Redmond, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0856480Redmond Fire and Rescue341 NW Dogwood Ave, Redmond, OR 97756Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.