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POLK COUNTY FIRE DISTRICT NO.1
NPI 1376620799
Ambulance - Land Transport in Independence, OR

Active since November 01, 2006CLIA 38D0710162 · Waiver
1800 MONMOUTH ST, NOT APPLICABLE, INDEPENDENCE, OR 97351(503) 838-1510(503) 838-1235 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Polk County Fire District No.1 NPPES

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

POLK COUNTY FIRE DISTRICT NO.1 (NPI 1376620799) is a healthcare organization registered as a land transport in Independence, Oregon and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Susan Jean Shepard, Offie Administrator, as its authorized official.

NPPES Registry Identity

NPI1376620799
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NamePOLK COUNTY FIRE DISTRICT NO.1
Location Address1800 MONMOUTH ST, NOT APPLICABLEIndependence, OR 97351-9700
Mailing Address1800 Monmouth StIndependence, OR 97351-9700 · (503) 838-1510 · Fax (503) 838-1235
Phone(503) 838-1510
Fax(503) 838-1235
Organization SubpartNo
Authorized OfficialSusan Jean ShepardOffie Administrator · (503) 838-1510
Enumeration DateNovember 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1376620799 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 · 2703-06
1800 MONMOUTH ST, Independence, OR 97351
Open in Google Maps ↗

Other Identifiers 1

Medicaid119461OR

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 38D0710162

Polk County Fire District No 1 · Independence, OR
Active · expires Dec 31, 2027
CLIA Number38D0710162
Laboratory TypeAmbulance
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorFrank Ehrmantraut
Laboratory Phone(503) 838-1510
Laboratory LocationPolk County Fire District No 11800 Monmouth St, Independence, OR 97351
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.
2,527 services137 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.
119 services96 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.
77 services55 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 Polk County Fire District No.1's NPI number?

The NPI number for Polk County Fire District No.1 is 1376620799. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Polk County Fire District No.1 located?

Polk County Fire District No.1 is located at 1800 Monmouth St Not Applicable, Independence, OR 97351. The listed phone number is (503) 838-1510.

What is Polk County Fire District No.1's specialty?

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

Does Polk County Fire District No.1 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0710162) 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 Polk County Fire District No.1 was last updated on August 22, 2020. 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.