Active NPI
McMinnville Fire District
- Land Ambulance
- McMinnville, OR
National Provider Identifier
1649059148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- MCMINNVILLE FIRE DISTRICT
- Practice address
- 175 NE First Street
McMinnville, OR 97128 - Phone
- (503) 435-5800
- Fax
- (503) 435-5815
- NPI assigned
- Sep 25, 2023
- 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
- Amy Hanifan
- Title
- Assistant Chief
- Phone
- (503) 435-5800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
175 NE First Street
McMinnville, OR 97128
Mailing address
175 NE First Street
McMinnville, OR 97128
Phone (503) 435-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3665 | Other | OR | OREGON HEALTH AUTHORITY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240220001256 | OR | Part B Supplier - Ambulance Service Supplier | 3779927603 | Practice locations: McMinnville, 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 |
|---|---|---|---|
| 38D0705249 | McMinnville Fire District | Certificate of waiver | Dec 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
3850 SE Three Mile Ln
McMinnville, OR 97128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695600000000",
"number": "1649059148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 NE FIRST STREET",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "97128",
"telephone_number": "503-435-5800",
"fax_number": "503-435-5815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 NE FIRST STREET",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "97128",
"telephone_number": "503-435-5800",
"fax_number": "503-435-5815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCMINNVILLE FIRE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-25",
"last_updated": "2023-09-25",
"certification_date": "2023-09-21",
"status": "A",
"authorized_official_last_name": "HANIFAN",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "ASSISTANT CHIEF",
"authorized_official_telephone_number": "503-435-5800"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON HEALTH AUTHORITY",
"identifier": "3665",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McMinnville, OR
- McMinnville Chiropractic Clinic
- McMinnville Chiropractic Clinic LLC
- McMinnville Dental Group
- McMinnville Ear Nose & Throat
- McMinnville Eye Clinic PC
- McMinnville Foot & Ankle Associates LLC
- McMinnville Foot and Ankle Specialists, P.C.
- McMinnville Free Clinic
- McMinnville Healing Massage
- McMinnville Imaging Associates LLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.