Organization Active NPI

Klamath County Fire District 3

Doing business as KCFD#3

  • Land Ambulance
  • Sprague River, OR
National Provider Identifier
1821867672
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
KLAMATH COUNTY FIRE DISTRICT 3
Doing business as
KCFD#3
Practice address
23530 Sprague River Rd
Sprague River, OR 97639
Phone
(541) 880-6877
NPI assigned
Dec 21, 2023
Last updated
Dec 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Christine Friend
Title
Fire Chief
Phone
(541) 880-6877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

23530 Sprague River Rd
Sprague River, OR 97639

Mailing address

PO Box 51
Sprague River, OR 97639-0051
Phone (541) 880-6877

Other names 1

  • KCFD#3 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240311001453 OR Part B Supplier - Ambulance Service Supplier 8123464328 Practice locations: Sprague River, 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
38D2286309Klamath County Fire District 323530 Sprague River Rd, Sprague River, OR 97639Certificate of waiverJul 25, 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": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1821867672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51",
            "city": "SPRAGUE RIVER",
            "state": "OR",
            "postal_code": "976390051",
            "telephone_number": "541-880-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23530 SPRAGUE RIVER RD",
            "city": "SPRAGUE RIVER",
            "state": "OR",
            "postal_code": "97639",
            "telephone_number": "541-880-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLAMATH COUNTY FIRE DISTRICT 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "FRIEND",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "541-880-6877"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KCFD#3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sprague River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.

Verify at the official NPI Registry.