Village of Phillipsburg

Primary specialty

AmbulanceTaxonomy code 341600000X

License

02-0640550 Issued in OH

Legal business name

VILLAGE OF PHILLIPSBURG

Doing business as

Phillipsburg Fire Department

Practice address

16 E Poplar St
Phillipsburg, OH 45354

Phone

(937) 884-7620

NPI assigned

Aug 18, 2005

Last updated

Dec 28, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin Saunders

Title

Fire Chief

Phone

(937) 884-7620

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Phillipsburg Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1073505897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78000 DEPT 781582",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482780001",
            "telephone_number": "866-631-4551",
            "fax_number": "937-291-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E POPLAR ST",
            "city": "PHILLIPSBURG",
            "state": "OH",
            "postal_code": "45354",
            "telephone_number": "937-884-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF PHILLIPSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "937-884-7620"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "02-0640550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2251432",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2251532",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000217962",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014778",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillipsburg Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phillipsburg Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon A Hartley
• Rhonda B. Mills, NP-C
• Samaritan Family Care Inc (Phillipsburg Family Care)
• Janett M Wilges

• Ambulance in Phillipsburg, OH
• Providers in Phillipsburg, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.