Organization Active NPI

Central Douglas Fire & Rescue Authority

  • Paramedic
  • Winston, OR
National Provider Identifier
1942071006
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
Legal business name
CENTRAL DOUGLAS FIRE & RESCUE AUTHORITY
Practice address
250 SE Main St
Winston, OR 97496-6566
Phone
(541) 673-5503
NPI assigned
Jan 9, 2024
Last updated
Jan 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Margie Giusto
Title
Administration
Phone
(541) 679-8721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X NU Primary

Addresses

Primary practice location

250 SE Main St
Winston, OR 97496-6566

Mailing address

PO Box 1060
Winston, OR 97496-1060
Phone (541) 673-5503

Other names 1

  • Central Douglas Fire & Rescue Authority Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240809003328 OR Part B Supplier - Ambulance Service Supplier 3678011509 Practice locations: Winston, 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
38D2293204Central Douglas Fire & Rescue250 SE Main St, Winston, OR 97496Certificate of waiverNov 2, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1942071006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1060",
            "city": "WINSTON",
            "state": "OR",
            "postal_code": "974961060",
            "telephone_number": "541-673-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SE MAIN ST",
            "city": "WINSTON",
            "state": "OR",
            "postal_code": "974966566",
            "telephone_number": "541-673-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DOUGLAS FIRE & RESCUE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "GIUSTO",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "541-679-8721"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Douglas Fire & Rescue Authority",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Winston, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.