Organization Active NPI

Estacada Rural Fire District #69

  • Land Ambulance
  • Estacada, OR
National Provider Identifier
1871359539
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
ESTACADA RURAL FIRE DISTRICT #69
Practice address
261 SE Jeremy Loveless Ave
Estacada, OR 97023
Phone
(503) 630-7712
NPI assigned
Feb 21, 2024
Last updated
Feb 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Ian O'Connor
Title
Fire Chief
Phone
(503) 630-7712

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary
Paramedic 146L00000X
Intermediate Emergency Medical Technician 146M00000X
Basic Emergency Medical Technician 146N00000X

Addresses

Primary practice location

261 SE Jeremy Loveless Ave
Estacada, OR 97023

Mailing address

PO Box 1385
Estacada, OR 97023-1385
Phone (503) 630-7712

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1871359539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1385",
            "city": "ESTACADA",
            "state": "OR",
            "postal_code": "970231385",
            "telephone_number": "503-630-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 SE JEREMY LOVELESS AVE",
            "city": "ESTACADA",
            "state": "OR",
            "postal_code": "97023",
            "telephone_number": "503-630-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTACADA RURAL FIRE DISTRICT #69",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "503-630-7712"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estacada, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.