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CANBY FIRE DISTRICT 62
NPI 1356368302
Ambulance - Land Transport in Canby, OR

Active since July 16, 2006CLIA 38D0973177 · Waiver
221 S PINE ST, CANBY, OR 97013(503) 266-5851(503) 266-1320 Get Directions Write a Review

NPPES record last updated: December 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Canby Fire District 62 NPPES

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

CANBY FIRE DISTRICT 62 (NPI 1356368302) is a healthcare organization registered as a land transport in Canby, Oregon and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists Matthew S Dale, Division Chief, Ems & Safety, as its authorized official.

NPPES Registry Identity

NPI1356368302
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCANBY FIRE DISTRICT 62
Location Address221 S PINE STCanby, OR 97013-4525
Mailing AddressPo Box 3510Silverdale, WA 98383-3510 · (360) 394-7010 · Fax (360) 394-7099
Phone(503) 266-5851
Fax(503) 266-1320
Organization SubpartNo
Authorized OfficialMatthew S DaleDivision Chief, Ems & Safety · (503) 263-4251
Enumeration DateJuly 16, 2006
Last NPPES UpdateDecember 9, 2016
✔ NPI 1356368302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in OR · 0318
221 S PINE ST, Canby, OR 97013
Open in Google Maps ↗

Other Identifiers 2

Medicaid073817OR
Medicare PINR0000RGBPQOR

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 38D0973177

Canby Fire District #62 Dba Canby Ambulance Service · Canby, OR
Active · expires Apr 26, 2028
CLIA Number38D0973177
Laboratory TypeAmbulance
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorMatt Dale
Laboratory Phone(503) 266-5851
Laboratory LocationCanby Fire District #62 Dba Canby Ambulance Service221 S Pine St, Canby, OR 97013
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.
4,474 services209 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.
249 services177 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.
56 services49 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 Canby Fire District 62's NPI number?

The NPI number for Canby Fire District 62 is 1356368302. It was assigned to this organization in the NPPES registry on July 16, 2006.

Where is Canby Fire District 62 located?

Canby Fire District 62 is located at 221 S Pine St, Canby, OR 97013. The listed phone number is (503) 266-5851.

What is Canby Fire District 62's specialty?

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

Does Canby Fire District 62 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0973177) is associated with this NPI, valid through April 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Canby Fire District 62 was last updated on December 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.