Clark-Cowlitz Fire Rescue

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CLARK-COWLITZ FIRE RESCUE

Practice address

911 N 65TH Ave
Ridgefield, WA 98642-7725

Phone

(360) 887-4609

Fax

(360) 887-0862

NPI assigned

Mar 31, 2021

Last updated

Apr 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Nohr

Title

Fire Chief

Phone

(360) 887-4609

Specialties & licenses 5

Addresses

Other names 1

• Clark County Fire & Rescue Former legal business name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1841878717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 N 65TH AVE",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986427725",
            "telephone_number": "360-887-4609",
            "fax_number": "360-887-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N 65TH AVE",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986427725",
            "telephone_number": "360-887-4609",
            "fax_number": "360-887-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK-COWLITZ FIRE RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "NOHR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "360-887-4609",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clark County Fire & Rescue",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Clark County Fire & Rescue",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Land Ambulance in Ridgefield, WA
• Providers in Ridgefield, WA by specialty
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.