Organization Active NPI

Clatskanie Rural Fire Protection District

  • Land Ambulance
  • Clatskanie, OR
National Provider Identifier
1528116175
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0501 Issued in OR
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
027433MedicaidOR
1012572MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100826000254 OR Part B Supplier - Ambulance Service Supplier 9931223047 Practice locations: Clatskanie, 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
38D0921886Clatskanie Rural Fire District280 SE 3Rd, Clatskanie, OR 97016Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.