Clinton-Warren Joint Fire & Rescue District
Organization Active NPI Land Ambulance · Clarksville, OH
NPI 1073668802 · NPPES record last updated Apr 18, 2024
Key facts
- NPI
- 1073668802
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- CLINTON-WARREN JOINT FIRE & RESCUE DISTRICT
- Practice address
- 82 Springhill Rd
Clarksville, OH 45113 - Phone
- (937) 289-3427
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
Authorized official
- Name
- Andrew Wysong
- Title
- Chief
- Phone
- (937) 289-3427
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070411000001 | OH | Part B Supplier - Ambulance Service Supplier | 3971608548 | Practice locations: Clarksville, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
82 Springhill Rd
Clarksville, OH 45113
Mailing address
PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2744801 | Medicaid | OH | |
| 000000355877 | Other | OH | ANTHEM BCBS |
Other providers in Clarksville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.