Active NPI
Chemult Rural Fire Protection Dist
- Intermediate Emergency Medical Technician
- Chemult, OR
National Provider Identifier
1891746616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intermediate Emergency Medical Technician
- Legal business name
- CHEMULT RURAL FIRE PROTECTION DIST
- Practice address
- 109800 Highway 97N
Chemult, OR 97731 - Phone
- (541) 365-2255
- Fax
- (541) 365-2280
- NPI assigned
- May 15, 2006
- Last updated
- Dec 14, 2007
- 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
- Nancy M Mort, EMT
- Title
- Emt Coordinator
- Phone
- (541) 365-2255
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intermediate Emergency Medical Technician | 146M00000X | OR | Primary |
Addresses
Primary practice location
109800 Highway 97N
Chemult, OR 97731
Mailing address
PO Box 28
Chemult, OR 97731
Phone (541) 365-2255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063560 | Medicaid | OR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197590400000",
"number": "1891746616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28",
"city": "CHEMULT",
"state": "OR",
"postal_code": "97731",
"telephone_number": "541-365-2255",
"fax_number": "541-365-2260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109800 HIGHWAY 97N",
"city": "CHEMULT",
"state": "OR",
"postal_code": "97731",
"telephone_number": "541-365-2255",
"fax_number": "541-365-2280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHEMULT RURAL FIRE PROTECTION DIST",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-15",
"last_updated": "2007-12-14",
"status": "A",
"authorized_official_last_name": "MORT",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "EMT COORDINATOR",
"authorized_official_telephone_number": "541-365-2255",
"authorized_official_credential": "EMT"
},
"taxonomies": [
{
"code": "146M00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Intermediate",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "063560",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chemult, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.