Organization Active NPI

Central Oregon Coast Fire and Rescue District

  • Land Ambulance
  • Waldport, OR
National Provider Identifier
1649229253
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2109-06 Issued in OR
Legal business name
CENTRAL OREGON COAST FIRE AND RESCUE DISTRICT
Practice address
145 E Alsea Hwy
Waldport, OR 97394-9805
Phone
(541) 563-3121
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ray Woodruff
Title
Board Chairman
Phone
(541) 563-3121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2109-06 OR Primary

Addresses

Primary practice location

145 E Alsea Hwy
Waldport, OR 97394-9805

Mailing address

PO Box 505
Waldport, OR 97394-0505
Phone (541) 563-3121

Other identifiers 1

IdentifierTypeStateIssuer
295495MedicaidOR

Other names 1

  • Central Oregon Coast Fire and Rescue Doing business as

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
38D0961419Central Oregon Coast Fire District Lab145 Alsea Hwy PO Box 505, Waldport, OR 97394Certificate 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": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649229253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505",
            "city": "WALDPORT",
            "state": "OR",
            "postal_code": "973940505",
            "telephone_number": "541-563-3121",
            "fax_number": "541-563-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E ALSEA HWY",
            "city": "WALDPORT",
            "state": "OR",
            "postal_code": "973949805",
            "telephone_number": "541-563-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OREGON COAST FIRE AND RESCUE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "BOARD CHAIRMAN",
        "authorized_official_telephone_number": "541-563-3121"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "2109-06",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "295495",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Oregon Coast Fire and Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waldport, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.