Active NPI
City of Waterville
- Land Ambulance
- Waterville, OH
National Provider Identifier
1114060811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3119182 | Medicaid | OH |
Other names 1
- Waterville Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100917000225 | OH | Part B Supplier - Ambulance Service Supplier | 1557486271 | Practice locations: Waterville, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2308576 | City of Waterville Fire Department | Certificate of waiver | Jul 30, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.