NPIMap

Organization Active NPI

Idanha Detroit Rural Fire Protection District

Doing business as Idanha-Detroit RFPD

  • Land Ambulance
  • Detroit, OR
National Provider Identifier
1912911868
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2401 Issued in OR
Legal business name
IDANHA DETROIT RURAL FIRE PROTECTION DISTRICT
Doing business as
Idanha-Detroit RFPD
Practice address
160 Detroit Ave N
Detroit, OR 97342
Phone
(503) 854-3494
Fax
(503) 854-3238
NPI assigned
Jul 28, 2006
Last updated
Apr 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Authorized official

Name
Kelly Galbraith
Title
Office Administrator
Phone
(503) 854-3494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2401 OR Primary

Addresses

Primary practice location

160 Detroit Ave N
Detroit, OR 97342

Mailing address

PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7020

Other identifiers 1

IdentifierTypeStateIssuer
093187MedicaidOR

Other names 1

  • Idanha-Detroit RFPD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1912911868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3510",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983833510",
            "telephone_number": "360-394-7020",
            "fax_number": "360-394-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 DETROIT AVE N",
            "city": "DETROIT",
            "state": "OR",
            "postal_code": "97342",
            "telephone_number": "503-854-3494",
            "fax_number": "503-854-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDANHA DETROIT RURAL FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "GALBRAITH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "503-854-3494"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093187",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Idanha-Detroit RFPD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.