Active NPI
Clatskanie Rural Fire Protection District
- Land Ambulance
- Clatskanie, OR
National Provider Identifier
1528116175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0501
- Legal business name
- CLATSKANIE RURAL FIRE PROTECTION DISTRICT
- Practice address
- 280 SE Third St.
Clatskanie, OR 97016 - Phone
- (503) 728-2025
- Fax
- (503) 728-4388
- NPI assigned
- Jan 8, 2007
- Last updated
- Oct 24, 2025
- 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
- Bruce Patrick Holsey
- Title
- Fire Chief
- Phone
- (503) 728-2025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0501 | OR | Primary |
Addresses
Primary practice location
280 SE Third St.
Clatskanie, OR 97016
Mailing address
PO Box 3510
Silverdale, WA 98383-3510
Phone (800) 238-9398
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027433 | Medicaid | OR | |
| 1012572 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100826000254 | OR | Part B Supplier - Ambulance Service Supplier | 9931223047 | Practice locations: Clatskanie, 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 |
|---|---|---|---|
| 38D0921886 | Clatskanie Rural Fire District | Certificate of waiver | Dec 31, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761264000000",
"number": "1528116175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3510",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983833510",
"telephone_number": "800-238-9398",
"fax_number": "360-394-7097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 SE THIRD ST.",
"city": "CLATSKANIE",
"state": "OR",
"postal_code": "97016",
"telephone_number": "503-728-2025",
"fax_number": "503-728-4388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLATSKANIE RURAL FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-08",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A",
"authorized_official_last_name": "HOLSEY",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "503-728-2025"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "OR",
"license": "0501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "027433",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012572",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clatskanie, OR
- Nicole Bright, MS, NCSP
- Clatskanie Family Chiropractic
- Clatskanie Family Health Center
- Clatskanie Family Medical Clinic, Inc.
- Clatskanie of Olympus, LLC
- Clatskanie School Based Health Center
- Clatskanie School District
- Clatskanie School District 6J
- Coastal Family Health Center (Community Health Center of Clatskanie)
- Coastal Family Health Center (Clatskanie School Based Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.