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CENTRAL CASCADES FIRE & EMS
NPI 1174892210
Emergency Medical Technician, Paramedic in Crescent Lake, OR

Active since December 19, 2011CLIA 38D0986235 · Waiver
20400 CRESCENT LAKE HWY, CRESCENT LAKE, OR 97733(541) 433-2800 Get Directions Write a Review

NPPES record last updated: December 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Central Cascades Fire & Ems NPPES

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

CENTRAL CASCADES FIRE & EMS (NPI 1174892210) is a healthcare organization registered as an emergency medical technician, paramedic in Crescent Lake, Oregon and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Sally R Carlson, Ems Director, as its authorized official.

NPPES Registry Identity

NPI1174892210
Entity TypeOrganization
Primary Taxonomy146L00000X
Legal Business NameCENTRAL CASCADES FIRE & EMS
Location Address20400 CRESCENT LAKE HWYCrescent Lake, OR 97733-7044
Mailing AddressPo Box 1065Crescent Lake, OR 97733-1065 · (541) 433-2800
Phone(541) 433-2800
Organization SubpartNo
Authorized OfficialSally R CarlsonEms Director · (541) 433-2800
Enumeration DateDecember 19, 2011
✔ NPI 1174892210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medical Technician, ParamedicEmergency Medical Service Providers
Taxonomy Code146L00000X
License✔ Licensed in OR · 133419
Definition
An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.
Also ListedEmergency Medical Technician, BasicTaxonomy 146N00000X · License 134610 (OR)
20400 CRESCENT LAKE HWY, Crescent Lake, OR 97733
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 38D0986235

Central Cascades Fire & Ems · Crescent, OR
Active · expires Dec 15, 2026
CLIA Number38D0986235
Laboratory TypeAmbulance
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorTravis B. De Lorto
Laboratory Phone(541) 433-2800
Laboratory LocationCentral Cascades Fire & Ems20400 Crescent Lake Highway, Crescent, OR 97733
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Central Cascades Fire & Ems's NPI number?

The NPI number for Central Cascades Fire & Ems is 1174892210. It was assigned to this organization in the NPPES registry on December 19, 2011.

Where is Central Cascades Fire & Ems located?

Central Cascades Fire & Ems is located at 20400 Crescent Lake Hwy, Crescent Lake, OR 97733. The listed phone number is (541) 433-2800.

What is Central Cascades Fire & Ems's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Paramedic with taxonomy code 146L00000X.

Does Central Cascades Fire & Ems hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0986235) is associated with this NPI, valid through December 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Central Cascades Fire & Ems was last updated on December 19, 2011. 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.