Organization Active NPI

Mercer County

Doing business as Mercer County EMS

  • Ambulance
  • Celina, OH
National Provider Identifier
1053420083
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
MERCER COUNTY
Doing business as
Mercer County EMS
Practice address
301 Riley St
Celina, OH 45822-1648
Phone
(419) 586-3797
Fax
(419) 586-1866
NPI assigned
Aug 30, 2006
Reactivated
Sep 22, 2016
Last updated
Oct 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Mrs. Michelle K. Garman
Title
Account Clerk
Phone
(419) 586-3797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X OH Primary

Addresses

Primary practice location

301 Riley St
Celina, OH 45822-1648

Mailing address

321 Riley St
Celina, OH 45822
Phone (419) 586-3797

Other names 1

  • Mercer County EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050105000989 OH Part B Supplier - Ambulance Service Supplier 6406804541 Practice locations: Coldwater, OH; Celina, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Mercer County5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

202 N Main St
Celina, OH 45822
Phone (419) 586-2127

220 W Livingston St
Ste B152
Celina, OH 45822
Phone (419) 586-3251

301 Riley St
Celina, OH 45822
Phone (419) 586-3797

321 Riley St
Celina, OH 45822
Phone (419) 586-3797

320 W Main St
Coldwater, OH 45828
Phone (419) 586-3797

500 W Main St
Coldwater, OH 45828
Phone (419) 586-3797

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1053420083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 RILEY ST",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "45822",
            "telephone_number": "419-586-3797",
            "fax_number": "419-586-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 RILEY ST",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458221648",
            "telephone_number": "419-586-3797",
            "fax_number": "419-586-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-10-12",
        "deactivation_date": "2015-12-10",
        "reactivation_date": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "GARMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ACCOUNT CLERK",
        "authorized_official_telephone_number": "419-586-3797",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercer County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Celina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.