Active NPI
Mid-Columbia Fire and Rescue
- Land Ambulance
- The Dalles, OR
National Provider Identifier
1912925892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 3305-05
- Legal business name
- MID-COLUMBIA FIRE AND RESCUE
- Practice address
- 1400 W 8TH St
The Dalles, OR 97058-1048 - Phone
- (541) 296-9445
- NPI assigned
- Jul 18, 2006
- 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
- David Jensen
- Title
- Fire Chief
- Phone
- (541) 296-9445
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 3305-05 | OR | Primary |
Addresses
Primary practice location
1400 W 8TH St
The Dalles, OR 97058-1048
Mailing address
PO Box 3510
Silverdale, WA 98383-3510
Phone (800) 238-9398
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 056049000 | Other | OR | BLUE CROSS OF OREGON |
| 206685 | Medicaid | OR | |
| 1029908 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080616000524 | OR | Part B Supplier - Ambulance Service Supplier | 9638240831 | Practice locations: The Dalles, OR |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D0698221 | Mid-Columbia Fire and Rescue | Certificate of waiver | Dec 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
551 Lone Pine Blvd
The Dalles, OR 97058
Phone (541) 296-7202
1400 W 8th St
The Dalles, OR 97058
Phone (503) 296-7548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760313600000",
"number": "1912925892",
"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": "800-238-9398",
"fax_number": "360-394-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 W 8TH ST",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970581048",
"telephone_number": "541-296-9445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID-COLUMBIA FIRE AND RESCUE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-18",
"last_updated": "2025-10-13",
"certification_date": "2025-10-13",
"status": "A",
"authorized_official_last_name": "JENSEN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "541-296-9445"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "OR",
"license": "3305-05",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF OREGON",
"identifier": "056049000",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206685",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1029908",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in The Dalles, OR
- Mid-Columbia Center for Living
- Mid-Columbia Center for Living
- Mid-Columbia Center for Living
- Mid-Columbia Child & Family Center, Inc.
- Mid-Columbia Council of Governments
- Mid-Columbia Health Service, Inc.
- Mid-Columbia Health Services Inc
- Mid-Columbia Medical Center
- Mid-Columbia Medical Center
- Mid-Columbia Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.