Organization Active NPI

Molalla Rural Fire Protection District 73

  • Land Ambulance
  • Molalla, OR
National Provider Identifier
1780759720
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0304 Issued in OR
Legal business name
MOLALLA RURAL FIRE PROTECTION DISTRICT 73
Practice address
320 N Molalla Ave
Molalla, OR 97038-8840
Phone
(503) 829-2200
Fax
(503) 829-6392
NPI assigned
Nov 22, 2006
Last updated
Dec 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Authorized official

Name
Vincent Stafford
Title
Chief
Phone
(503) 829-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0304 OR Primary

Addresses

Primary practice location

320 N Molalla Ave
Molalla, OR 97038-8840

Mailing address

PO Box 655
Molalla, OR 97038-0655
Phone (503) 829-2200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100723000083 OR Part B Supplier - Ambulance Service Supplier 2860524006 Practice locations: Molalla, 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
38D0697918Molalla Fire District #73320 N Molalla Ave, Molalla, OR 97038Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory

Locations

320 N Molalla Ave
Molalla, OR 97038
Phone (503) 829-2200

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1780759720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "MOLALLA",
            "state": "OR",
            "postal_code": "970380655",
            "telephone_number": "503-829-2200",
            "fax_number": "503-829-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N MOLALLA AVE",
            "city": "MOLALLA",
            "state": "OR",
            "postal_code": "970388840",
            "telephone_number": "503-829-2200",
            "fax_number": "503-829-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLALLA RURAL FIRE PROTECTION DISTRICT 73",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "503-829-2200"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "0304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Molalla, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.