Crook County Fire and Rescue

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0701-04 Issued in OR

Legal business name

CROOK COUNTY FIRE AND RESCUE

Practice address

500 NE Belknap St
Prineville, OR 97754-1932

Phone

(541) 447-5011

Fax

(541) 447-2705

NPI assigned

Mar 29, 2006

Last updated

Oct 15, 2007By 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

Mr. Jim Dean

Title

Deputy Cheif

Phone

(541) 447-5011

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1538120688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NE BELKNAP ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541932",
            "telephone_number": "541-447-5011",
            "fax_number": "541-447-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NE BELKNAP ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541932",
            "telephone_number": "541-447-5011",
            "fax_number": "541-447-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROOK COUNTY FIRE AND RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "DEPUTY CHEIF",
        "authorized_official_telephone_number": "541-447-5011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "0701-04",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029041",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominique Marie Cotherman
• County of Crook (Crook County HD)
• County of Crook
• Kendra Leann Coyle, CRM
• Joleigh Creason
• Crook County Health Department
• Daysha Deann Crosier
• Julia L Csiky, QMHP
• Carla Culpepper
• Stephanie Anne Cummings

• Land Ambulance in Prineville, OR
• Providers in Prineville, OR by specialty
• Land Ambulance in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.