Village of New Lebanon

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

VILLAGE OF NEW LEBANON

Doing business as

New Lebanon Fire Dept.

Practice address

115 S Clayton Rd
New Lebanon, OH 45345-9601

Phone

(937) 687-7510

NPI assigned

Aug 17, 2005

Organization subpart

No

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

Authorized official

Name

John C. Keyser

Title

Fire Chief

Phone

(937) 344-4413

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• New Lebanon Fire Dept. Doing business as

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": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1043202989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110",
            "city": "NEW LEBANON",
            "state": "OH",
            "postal_code": "453450110",
            "telephone_number": "855-626-9660",
            "fax_number": "833-953-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S CLAYTON RD",
            "city": "NEW LEBANON",
            "state": "OH",
            "postal_code": "453459601",
            "telephone_number": "937-687-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF NEW LEBANON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "KEYSER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "937-344-4413"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "020350300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2328690",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000214144",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Lebanon Fire Dept.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Lebanon Fire Dept.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenda Sue Singer, LPN
• Jay Alan Singer, LPN
• Rebecca A Smith, PTA
• America Jean Swartzel, MS, CCC-SLP
• Dikta Thapa
• Rainy Weatherholt, PMHNP-BC
• Shelby Glen Young, R. PH.

• Ambulance in New Lebanon, OH
• Providers in New Lebanon, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.