Organization Active NPI

Winston Dillard Rural Fire Protection District

Doing business as Winston Dillard Fire District

  • Paramedic
  • Winston, OR
National Provider Identifier
1619067741
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
1014 Issued in OR
Legal business name
WINSTON DILLARD RURAL FIRE PROTECTION DISTRICT
Doing business as
Winston Dillard Fire District
Practice address
250 SE Main St
Winston, OR 97496-6566
Phone
(541) 679-8721
Fax
(541) 679-5702
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Margie Giusto
Title
Administration
Phone
(541) 679-8721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ParamedicGroup: 193200000X MULTI-SPECIALTY GROUP 146L00000X 1014 OR Primary

Addresses

Primary practice location

250 SE Main St
Winston, OR 97496-6566

Mailing address

250 SE Main Street
PO Box 1779
Winston, OR 97496
Phone (541) 679-8721

Other identifiers 1

IdentifierTypeStateIssuer
268185MedicaidOR

Other names 1

  • Winston Dillard Fire District Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100914001401 OR Part B Supplier - Ambulance Service Supplier 1052436078 Practice locations: Winston, OR

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1619067741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SE MAIN STREET",
            "address_2": "PO BOX 1779",
            "city": "WINSTON",
            "state": "OR",
            "postal_code": "97496",
            "telephone_number": "541-679-8721",
            "fax_number": "541-679-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SE MAIN ST",
            "city": "WINSTON",
            "state": "OR",
            "postal_code": "974966566",
            "telephone_number": "541-679-8721",
            "fax_number": "541-679-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSTON DILLARD RURAL FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "GIUSTO",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "541-679-8721"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "OR",
            "license": "1014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268185",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winston Dillard Fire District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.