Active NPI
Tri-Village Joint Ambulance District
- Ambulance
- New Madison, OH
National Provider Identifier
1104543289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- TRI-VILLAGE JOINT AMBULANCE DISTRICT
- Practice address
- 320 N Main St
New Madison, OH 45346-9794 - Phone
- (937) 996-3155
- Fax
- (937) 996-4600
- NPI assigned
- Oct 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Eric Burns, PARAMEDIC
- Title
- Chief of EMS
- Phone
- (937) 996-3155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
320 N Main St
New Madison, OH 45346-9794
Mailing address
PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484
Other names 1
- Tri-Village Joint Ambulance District
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230112000597 | OH | Part B Supplier - Ambulance Service Supplier | 1850761602 | Practice locations: New Madison, OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715644800000",
"number": "1104543289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 392907",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152519907",
"telephone_number": "800-962-1484",
"fax_number": "937-996-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 N MAIN ST",
"city": "NEW MADISON",
"state": "OH",
"postal_code": "453469794",
"telephone_number": "937-996-3155",
"fax_number": "937-996-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-VILLAGE JOINT AMBULANCE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-20",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A",
"authorized_official_last_name": "BURNS",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "CHIEF OF EMS",
"authorized_official_telephone_number": "937-996-3155",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PARAMEDIC"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tri-Village Joint Ambulance District",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Tri-Village Joint Ambulance District",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Madison, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.