Village of St Bernard

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

VILLAGE OF ST BERNARD

Practice address

4200 Vine St
Saint Bernard, OH 45217-1529

Phone

(513) 242-8474

Fax

(513) 242-0305

NPI assigned

Oct 5, 2005

Organization subpart

No

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

Authorized official

Name

Bryan Young

Title

Fire Chief

Phone

(513) 242-8474

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1124015995",
    "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": "513-772-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 VINE ST",
            "city": "SAINT BERNARD",
            "state": "OH",
            "postal_code": "452171529",
            "telephone_number": "513-242-8474",
            "fax_number": "513-242-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF ST BERNARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "513-242-8474"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2513015",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00199891",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Mehran
• Chelsea Marie Rose, MS, CF-SLP
• James Henry Smith
• St. Bernard-Elmwood Place City Schools
• Jennifer Stuart, COTA/L
• Winton Hills Medical & Health Center
• Winton Hills Medical & Health Center
• Winton Hills Medical & Health Center
• Winton Hills Medical & Health Center

• Ambulance in Saint Bernard, OH
• Providers in Saint Bernard, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.