Northwest Wood Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

NORTHWEST WOOD AMBULANCE DISTRICT

Practice address

20496 Kellogg Rd
Grand Rapids, OH 43522-9450

Phone

(419) 352-2884

Fax

(419) 352-2884

NPI assigned

May 17, 2016

Organization subpart

No

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

Authorized official

Name

Ms. William Gase

Title

Fiscal Officer

Phone

(419) 352-2884

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1114374402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "city": "GRAND RAPIDS",
            "state": "OH",
            "postal_code": "435220216",
            "telephone_number": "419-352-2884",
            "fax_number": "419-352-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20496 KELLOGG RD",
            "city": "GRAND RAPIDS",
            "state": "OH",
            "postal_code": "435229450",
            "telephone_number": "419-352-2884",
            "fax_number": "419-352-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST WOOD AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "GASE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "419-352-2884",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Klein
• Michelle Laver, LISW-S
• Debra Mitch, R.PH.
• Kendra Nicol
• Bonnie Gale Noblet, RPH
• Lynda Poupard
• Eric Alan Swope
• Kelly Anne Tokar
• Julie A Vandevelde, LPN
• Diana Lynn Williams

• Land Ambulance in Grand Rapids, OH
• Providers in Grand Rapids, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.