Organization Active NPI

City of London

Doing business as City of London Division of Fire/EMS

  • Ambulance
  • London, OH
National Provider Identifier
1033683628
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF LONDON
Doing business as
City of London Division of Fire/EMS
Practice address
103 E High St
London, OH 43140-1228
Phone
(740) 852-4297
Fax
(740) 852-1392
NPI assigned
Jan 16, 2019
Last updated
Apr 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Mr. Todd Eades
Title
Fire Chief
Phone
(740) 852-4297

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary
Land Ambulance 3416L0300X NU

Addresses

Primary practice location

103 E High St
London, OH 43140-1228

Mailing address

PO Box L-3962
Columbus, OH 43260-3962
Phone (740) 852-4297

Other identifiers 2

IdentifierTypeStateIssuer
000001256114OtherOHANTHEM
0343252MedicaidOH

Other names 1

  • City of London Division of Fire/EMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190325002341 OH Part B Supplier - Ambulance Service Supplier 4789924911 Practice locations: London, OH

National Provider Directory

National Provider Directory

Locations

103 E High St
London, OH 43140
Phone (740) 852-4297

40 E Center St
London, OH 43140
Phone (740) 852-5390

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1033683628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX L-3962",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432603962",
            "telephone_number": "740-852-4297",
            "fax_number": "740-852-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E HIGH ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401228",
            "telephone_number": "740-852-4297",
            "fax_number": "740-852-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF LONDON",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "EADES",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "740-852-4297",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000001256114",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0343252",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of London Division of Fire/EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in London, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.