Active NPI
Mid-Ohio Ambulance Service Inc
- Land Ambulance
- Lancaster, OH
National Provider Identifier
1144225772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 230042
- Legal business name
- MID-OHIO AMBULANCE SERVICE INC
- Practice address
- 655 S Columbus St
Lancaster, OH 43130 - Phone
- (740) 654-6100
- Fax
- (740) 654-6679
- NPI assigned
- Jun 20, 2005
- 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
- Melody A Smith
- Title
- Vice President
- Phone
- (740) 654-6100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | OH | ||
| Land Ambulance | 3416L0300X | 230042 | OH | Primary |
Addresses
Primary practice location
655 S Columbus St
Lancaster, OH 43130
Mailing address
PO Box 985
Lancaster, OH 43130
Phone (740) 654-6100
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 863028 | Other | FED BLK LUNG | |
| 863028 | Other | OH | FEDERAL BLACK LUNG |
| AN9322525001 | Other | CIGNA | |
| 0325080 | Medicaid | OH | |
| 8187024 | Other | ANTHEM | |
| 000000155019 | Other | OH | ANTHEM BC/BS |
| 0004450573 | Other | OH | AETNA |
| 81-80114 | Other | OH | UNITED HEALTHCARE |
| AN93225250001 | Other | OH | CIGNA |
| G217 | Other | OH | MEDIGOLD |
| 071701000008 | Other | OH | CENTRAL BENEFITS |
| 81-87024 | Other | OH | MAIL HANDLERS INSUR |
| 9727 | Other | OH | CHCS NATIONWIDE INS |
| 0004450573 | Other | AETNA | |
| 8180114 | Other | UHC | |
| 9727 | Other | NATIONWIDE |
National Provider Directory
National Provider DirectoryLocations
655 S Columbus St
Lancaster, OH 43130
Phone (740) 654-6100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220313600000",
"number": "1144225772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 985",
"city": "LANCASTER",
"state": "OH",
"postal_code": "43130",
"telephone_number": "740-654-6100",
"fax_number": "740-654-6679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 S COLUMBUS ST",
"city": "LANCASTER",
"state": "OH",
"postal_code": "43130",
"telephone_number": "740-654-6100",
"fax_number": "740-654-6679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID-OHIO AMBULANCE SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-20",
"last_updated": "2008-09-02",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "MELODY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "740-654-6100"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "OH",
"license": "230042",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FED BLK LUNG",
"identifier": "863028",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLACK LUNG",
"identifier": "863028",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "AN9322525001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0325080",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "8187024",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000155019",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004450573",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "81-80114",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "AN93225250001",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDIGOLD",
"identifier": "G217",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CENTRAL BENEFITS",
"identifier": "071701000008",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAIL HANDLERS INSUR",
"identifier": "81-87024",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHCS NATIONWIDE INS",
"identifier": "9727",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004450573",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "8180114",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONWIDE",
"identifier": "9727",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.