Organization Active NPI

Tri-Village Joint Ambulance District

  • Ambulance
  • New Madison, OH
National Provider Identifier
1104543289
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on May 14, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230112000597 OH Part B Supplier - Ambulance Service Supplier 1850761602 Practice locations: New Madison, OH

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.