Active NPI
West Licking Joint Fire District
- Ambulance
- Pataskala, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 020323500
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000755015 | Other | OH | ANTHEM |
| 0062194 | Medicaid | OH | |
| P01020889 | Other | OH | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111220000845 | OH | Part B Supplier - Ambulance Service Supplier | 4789850843 | Practice locations: Etna, OH; Hebron, OH; Pataskala, 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 |
|---|---|---|---|
| 36D0869784 | West Licking Fire District | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.