Organization Active NPI

North Lincoln Fire & Rescue District #1

  • Ambulance
  • Lincoln City, OR
National Provider Identifier
1871027805
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
2118 Issued in OR
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

Updated by the provider on Apr 17, 2017

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20211014003060 OR Part B Supplier - Ambulance Service Supplier 3577960616 Practice locations: Lincoln City, OR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.