Active NPI
North Lincoln Fire & Rescue District #1
- Ambulance
- Lincoln City, OR
National Provider Identifier
1871027805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 2118
- Legal business name
- NORTH LINCOLN FIRE & RESCUE DISTRICT #1
- Practice address
- 4520 SE Highway 101
Lincoln City, OR 97367-1542 - Phone
- (541) 996-2233
- NPI assigned
- Apr 17, 2017
- 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
- Robert Dahlman, EMT-P
- Title
- EMS Coordinator
- Phone
- (541) 996-2233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 2118 | OR | Primary |
Addresses
Primary practice location
4520 SE Highway 101
Lincoln City, OR 97367-1542
Mailing address
PO Box 200
Lincoln City, OR 97367-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211014003060 | OR | Part B Supplier - Ambulance Service Supplier | 3577960616 | Practice locations: Lincoln City, OR |
National Provider Directory
National Provider DirectoryLocations
2525 NW Highway 101
Lincoln City, OR 97367
Phone (541) 996-2233
4520 SE Highway 101
Lincoln City, OR 97367
Phone (541) 996-2233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492387200000",
"number": "1871027805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 200",
"city": "LINCOLN CITY",
"state": "OR",
"postal_code": "973670200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4520 SE HIGHWAY 101",
"city": "LINCOLN CITY",
"state": "OR",
"postal_code": "973671542",
"telephone_number": "541-996-2233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH LINCOLN FIRE & RESCUE DISTRICT #1",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-17",
"last_updated": "2017-04-17",
"status": "A",
"authorized_official_last_name": "DAHLMAN",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "EMS COORDINATOR",
"authorized_official_telephone_number": "541-996-2233",
"authorized_official_credential": "EMT-P"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "OR",
"license": "2118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.