BLACK BUTTE RANCH RURAL FIRE PROTECTION DISTRICT
NPI 1235121773
Ambulance - Land Transport in Black Butte Ranch, OR

Q: What is Black Butte Ranch Rural Fire Protection District's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Active since August 19, 2005

13511 HAWKS BEARD, BLACK BUTTE RANCH, OR 97759(541) 595-2288(541) 595-6867 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Black Butte Ranch Rural Fire Protection District NPPES

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

BLACK BUTTE RANCH RURAL FIRE PROTECTION DISTRICT (NPI 1235121773) is a healthcare organization registered as a land transport in Black Butte Ranch, Oregon and active in the NPI registry since August 2005. The organization lists Dan Tucker, Chief, as its authorized official.

NPPES Registry Identity

NPI1235121773

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameBLACK BUTTE RANCH RURAL FIRE PROTECTION DISTRICT

Location Address13511 HAWKS BEARDBlack Butte Ranch, OR 97759

Mailing AddressPmb 8190 Po Box 8000Black Butte Ranch, OR 97759 · (541) 595-2288 · Fax (541) 595-6867

Phone(541) 595-2288

Fax(541) 595-6867

Organization SubpartNo

Authorized OfficialDan TuckerChief · (541) 595-2288

Enumeration DateAugust 19, 2005

Last NPPES UpdateAugust 13, 2021

NPPES CertifiedAugust 12, 2021

✔ NPI 1235121773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAmbulance · Land TransportTransportation Services

Taxonomy Code3416L0300X

Also ListedEmergency Medical Technician, ParamedicTaxonomy 146L00000X · License 0904-06 (OR)

13511 HAWKS BEARD, Black Butte Ranch, OR 97759

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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

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Black Butte Ranch Rural Fire Protection District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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 IDO20120329000426Non-DME Part B · Ambulance Service SupplierDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

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.

923 services27 patients

Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427

Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.

29 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 Black Butte Ranch Rural Fire Protection District's NPI number?

The NPI number for Black Butte Ranch Rural Fire Protection District is 1235121773. It was assigned to this organization in the NPPES registry on August 19, 2005.

Where is Black Butte Ranch Rural Fire Protection District located?

Black Butte Ranch Rural Fire Protection District is located at 13511 Hawks Beard, Black Butte Ranch, OR 97759. The listed phone number is (541) 595-2288.

What is Black Butte Ranch Rural Fire Protection District's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Is Black Butte Ranch Rural Fire Protection District enrolled in Medicare?

Yes. Black Butte Ranch Rural Fire Protection District is registered in the Medicare PECOS enrollment system.

When is Black Butte Ranch Rural Fire Protection District'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 December 31, 2026. 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.

When was this NPI record last updated?

The NPPES record for Black Butte Ranch Rural Fire Protection District was last updated on August 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.