# JEFFERSON RURAL FIRE PROTECTION DIST

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588667851
- **Authorized official:** SCOTT SHEPHERD (ASSISTANT CHIEF)
- **Authorized official phone:** (541) 327-2822

## Contact information

- **Practice address:** 189 N MAIN ST, JEFFERSON, OR 97352
- **Practice address phone:** (541) 327-2822
- **Practice address fax:** (541) 327-2279
- **Mailing address:** PO BOX 3510, SILVERDALE, WA 98383-3510
- **Mailing address phone:** (360) 394-7020
- **Mailing address fax:** (360) 394-7099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 244105 | OR | Yes |

## Other

- **Enumeration date:** 05/31/2005
- **Last updated:** 02/14/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 158862 | — | OR |
| 01 | — | 590012910 | RAILROAD MEDICARE PIN | OR |