Organization Active NPI

City of Waterville

  • Land Ambulance
  • Waterville, OH
National Provider Identifier
1114060811
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF WATERVILLE
Practice address
751 Waterville Monclova Rd
Waterville, OH 43566-1151
Phone
(419) 878-8100
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Tiffany Bachman
Title
Finance Director
Phone
(419) 878-8131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

751 Waterville Monclova Rd
Waterville, OH 43566-1151

Mailing address

Pittsburgh
Pittsburgh, PA 15251-9907
Phone (800) 962-1484

Other identifiers 1

IdentifierTypeStateIssuer
3119182MedicaidOH

Other names 1

  • Waterville Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100917000225 OH Part B Supplier - Ambulance Service Supplier 1557486271 Practice locations: Waterville, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2308576City of Waterville Fire Department751 Waterville Monclova Rd, Waterville, OH 43566Certificate of waiverJul 30, 2026

National Provider Directory

National Provider Directory

Locations

751 Waterville Monclova Rd
Waterville, OH 43566
Phone (419) 878-8100

25 N 2nd St
Waterville, OH 43566

Pittsburgh
Pittsburgh, PA 15251

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1114060811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PITTSBURGH",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519907",
            "telephone_number": "800-962-1484",
            "fax_number": "419-878-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 WATERVILLE MONCLOVA RD",
            "city": "WATERVILLE",
            "state": "OH",
            "postal_code": "435661151",
            "telephone_number": "419-878-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WATERVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "BACHMAN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "419-878-8131"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3119182",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waterville Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.