Organization Active NPI

West Licking Joint Fire District

  • Ambulance
  • Pataskala, OH
National Provider Identifier
1144597519
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
020323500 Issued in OH
Legal business name
WEST LICKING JOINT FIRE DISTRICT
Practice address
851 E Broad St
Pataskala, OH 43062-8199
Phone
(740) 927-8699
NPI assigned
Nov 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Todd M Magers
Title
Fire Chief
Phone
(740) 927-8699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 020323500 OH Primary

Addresses

Primary practice location

851 E Broad St
Pataskala, OH 43062-8199

Mailing address

PO Box 2039
Mount Vernon, OH 43050-7239
Phone (740) 522-8815

Other identifiers 3

IdentifierTypeStateIssuer
000000755015OtherOHANTHEM
0062194MedicaidOH
P01020889OtherOHRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111220000845 OH Part B Supplier - Ambulance Service Supplier 4789850843 Practice locations: Etna, OH; Hebron, OH; Pataskala, 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
36D0869784West Licking Fire District851 East Broad Street, Pataskala, OH 43062Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

851 E Broad St
#1
Pataskala, OH 43062
Phone (740) 927-8600

7125 Mink St SW
Pataskala, OH 43062
Phone (740) 927-8600

851 E Broad St
Pataskala, OH 43062
Phone (740) 927-8600

7125 Mink St SW
#3
Pataskala, OH 43062
Phone (740) 927-8600

7821 Taylor Rd SW
#4
Pataskala, OH 43068
Phone (740) 927-8600

7821 Taylor Rd SW
Ste B
Reynoldsburg, OH 43068
Phone (740) 927-8600

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1144597519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2039",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430507239",
            "telephone_number": "740-522-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 E BROAD ST",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430628199",
            "telephone_number": "740-927-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LICKING JOINT FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "MAGERS",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "740-927-8699"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "020323500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000755015",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062194",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01020889",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pataskala, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.