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KLAMATH COUNTY FIRE DIST NO 4
NPI 1053495069
Ambulance in Klamath Falls, OR

Active since October 25, 2006CLIA 38D0922306 · Waiver
4041 BALSAM DR, KLAMATH FALLS, OR 97601(541) 884-1670(541) 850-9792 Get Directions Write a Review

NPPES record last updated: July 12, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Klamath County Fire Dist No 4 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KLAMATH COUNTY FIRE DIST NO 4 (NPI 1053495069) is a healthcare organization registered as an ambulance in Klamath Falls, Oregon and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Joy Nixon, Medical Legal Rep, as its authorized official.

NPPES Registry Identity

NPI1053495069
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameKLAMATH COUNTY FIRE DIST NO 4
Location Address4041 BALSAM DRKlamath Falls, OR 97601-5406
Mailing Address2261 South 6th Street, Suite 2Klamath Falls, OR 97601 · (541) 882-6984 · Fax (541) 884-7585
Phone(541) 884-1670
Fax(541) 850-9792
Organization SubpartNo
Authorized OfficialJoy NixonMedical Legal Rep · (541) 882-6984
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 12, 2012
✔ NPI 1053495069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in OR · E219377
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
4041 BALSAM DR, Klamath Falls, OR 97601
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Other Identifiers 2

Medicaid031174OR
Medicare PINR0000RGCFMOR

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Klamath County Fire Dist No 4 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOregonEnrollment IDO20120712000886Non-DME Part B · Ambulance Service SupplierDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D0922306

Klamath County Fire District 4 · Klamath Falls, OR
Active · expires Dec 31, 2027
CLIA Number38D0922306
Laboratory TypeMobile Laboratory
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorNathan Markee
Laboratory Phone(541) 884-1670
Laboratory LocationKlamath County Fire District 44041 Balsam Dr, Klamath Falls, OR 97601
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
279 services28 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
36 services27 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Klamath County Fire Dist No 4's NPI number?

The NPI number for Klamath County Fire Dist No 4 is 1053495069. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Klamath County Fire Dist No 4 located?

Klamath County Fire Dist No 4 is located at 4041 Balsam Dr, Klamath Falls, OR 97601. The listed phone number is (541) 884-1670.

What is Klamath County Fire Dist No 4's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Is Klamath County Fire Dist No 4 enrolled in Medicare?

Yes. Klamath County Fire Dist No 4 is registered in the Medicare PECOS enrollment system.

When is Klamath County Fire Dist No 4's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oregon, Ambulance Service Supplier) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Klamath County Fire Dist No 4 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0922306) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Klamath County Fire Dist No 4 was last updated on July 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.