Active NPI
North Baltimore Village Office
Doing business as Village Of North Baltimore EMS
- Ambulance
- North Baltimore, OH
National Provider Identifier
1104856194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- NORTH BALTIMORE VILLAGE OFFICE
- Doing business as
- Village Of North Baltimore EMS
- Practice address
- 205 N. Main St
North Baltimore, OH 45872-1126 - Phone
- (419) 257-2394
- Fax
- (419) 257-2457
- NPI assigned
- Jul 4, 2006
- Last updated
- May 1, 2012
- Organization subpart
- Yes
- Parent organization
- NORTH BALTIMORE VILLAGE OFFICE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kenneth A Yant
- Title
- Finance Officer
- Phone
- (419) 257-2394
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | ||
| Ambulance | 341600000X | OH | Primary |
Addresses
Primary practice location
205 N. Main St
North Baltimore, OH 45872-1126
Mailing address
205 N. Main St
North Baltimore, OH 45872-1126
Phone (419) 257-2394
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0373402 | Medicaid | OH |
Other names 1
- Village Of North Baltimore EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120409000572 | OH | Part B Supplier - Ambulance Service Supplier | 6305007964 | Practice locations: North Baltimore, OH |
National Provider Directory
National Provider Directory- Part of
- North Baltimore Village Office
Locations
205 N Main St
North Baltimore, OH 45872
Phone (419) 257-2394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335830400000",
"number": "1104856194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 N. MAIN ST",
"city": "NORTH BALTIMORE",
"state": "OH",
"postal_code": "458721126",
"telephone_number": "419-257-2394",
"fax_number": "419-257-2457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N. MAIN ST",
"city": "NORTH BALTIMORE",
"state": "OH",
"postal_code": "458721126",
"telephone_number": "419-257-2394",
"fax_number": "419-257-2457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH BALTIMORE VILLAGE OFFICE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTH BALTIMORE VILLAGE OFFICE",
"enumeration_date": "2006-07-04",
"last_updated": "2012-05-01",
"status": "A",
"authorized_official_last_name": "YANT",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "FINANCE OFFICER",
"authorized_official_telephone_number": "419-257-2394",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0373402",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Village Of North Baltimore EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Baltimore, OH
- Matthes Chiropractic LLC (Matthes Chiropractic)
- Henry Carl Matthes IV, DC
- Alexis Miller
- New Beginnings Professional Counseling LLC
- North Baltimore Local Schools
- Christopher John O'Dell, OTA/L
- David Payne
- Kayla Lynn Pfeiffer
- Progressive Therapy Alternatives, Inc (North Baltimore Physical Therapy)
- James G Roby, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.