Active NPI
Molalla Rural Fire Protection District 73
- Land Ambulance
- Molalla, OR
National Provider Identifier
1780759720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0304
- 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, 2012
- 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
- Vincent Stafford
- Title
- Chief
- Phone
- (503) 829-2200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100723000083 | OR | Part B Supplier - Ambulance Service Supplier | 2860524006 | Practice locations: Molalla, 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 |
|---|---|---|---|
| 38D0697918 | Molalla Fire District #73 | Certificate of waiver | Dec 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.