Town & Country Fire District

Primary specialty

AmbulanceTaxonomy code 341600000X

License

020726450 Issued in OH

Legal business name

TOWN & COUNTRY FIRE DISTRICT

Practice address

60 N Lincoln St
West Salem, OH 44287

Phone

(419) 853-4022

Fax

(419) 853-1305

NPI assigned

Jun 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David W Funk Jr.

Title

Fiscal Officer

Phone

(419) 853-4022

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1023058807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "WEST SALEM",
            "state": "OH",
            "postal_code": "442870175",
            "telephone_number": "419-853-4022",
            "fax_number": "419-853-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 N LINCOLN ST",
            "city": "WEST SALEM",
            "state": "OH",
            "postal_code": "44287",
            "telephone_number": "419-853-4022",
            "fax_number": "419-853-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN & COUNTRY FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "419-853-4022",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "020726450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassandra R Sersig, LISW
• Stacy Lee Simmons
• Michelle Diane Stacy
• Jennifer Stallings
• Melissa Ann Swain
• Jill Tyree, OTR/L
• Amber Star Vance, LPN
• Sarah Weaver
• Amber Whytsell
• Caroline Spisak Zubricky, OT/L

• Ambulance in West Salem, OH
• Providers in West Salem, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.