Organization Active NPI

Mid-Columbia Fire and Rescue

  • Land Ambulance
  • The Dalles, OR
National Provider Identifier
1912925892
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3305-05 Issued in OR
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

Updated by the provider on Oct 13, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
056049000OtherORBLUE CROSS OF OREGON
206685MedicaidOR
1029908MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080616000524 OR Part B Supplier - Ambulance Service Supplier 9638240831 Practice locations: The Dalles, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0698221Mid-Columbia Fire and Rescue1400 West Eighth Street, The Dalles, OR 97058Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.