CENTRAL CASCADES FIRE & EMS
NPI 1174892210
Emergency Medical Technician, Paramedic in Crescent Lake, OR
NPI Status: Active since December 19, 2011
Contact Information
20400 CRESCENT LAKE HWY
CRESCENT LAKE, OR
ZIP 97733
Phone: (541) 433-2800
- Organization
- Emergency Medical Technician, Paramedic
- CLIA Number: 38D0986235
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 12-15-2026
About CENTRAL CASCADES FIRE & EMS
This page provides the complete NPI Profile along with additional information for Central Cascades Fire & Ems, a provider established in Crescent Lake, Oregon operating as a Emergency Medical Technician, Paramedic. The healthcare provider is registered in the NPI registry with number 1174892210 assigned on December 2011. The practitioner's primary taxonomy code is 146L00000X with license number 133419 (OR). The provider is registered as an organization and their NPI record was last updated 14 years ago. Central Cascades Fire & Ems operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Sally R Carlson Emt- Basic (Ems Director)
- NPI
- 1174892210
- Provider Name
- CENTRAL CASCADES FIRE & EMS
- Entity Type
- Organization
- Location Address
- 20400 CRESCENT LAKE HWY CRESCENT LAKE, OR 97733
- Location Phone
- (541) 433-2800
- Mailing Address
- PO BOX 1065 CRESCENT LAKE, OR 97733
- Mailing Phone
- (541) 433-2800
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-19-2011
- Last Update Date
- 12-19-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medical Technician, Paramedic
- Taxonomy Code
- 146L00000X
- Type
- Emergency Medical Service Providers
- License No.
- 133419
- License State
- OR
- Taxonomy Description
- An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 146N00000X | Emergency Medical Service Providers | Emergency Medical Technician, Basic | 134610 (OR) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D0986235
- Facility Type
- Ambulance
- Certificate Effective Date
- December 16, 2024
- Certificate Expiration Date
- December 15, 2026
- Laboratory Director
- TRAVIS B. DE LORTO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Central Cascades Fire & Ems to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1174892210, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174892210, enumerated as an "organization" on December 19, 2011.
The provider is located at 20400 CRESCENT LAKE HWY CRESCENT LAKE, OR 97733 and the phone number is (541) 433-2800.
Emergency Medical Technician, Paramedic with taxonomy code 146L00000X.