Active NPI
City of Forest Park
- Ambulance
- Cincinnati, OH
National Provider Identifier
1164419925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- CITY OF FOREST PARK
- Practice address
- 1201 W Kemper Rd
Cincinnati, OH 45240-1617 - Phone
- (513) 595-5243
- Fax
- (513) 772-4464
- NPI assigned
- Oct 5, 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
- Donnie Jones
- Title
- City Manager
- Phone
- (513) 595-5243
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
1201 W Kemper Rd
Cincinnati, OH 45240-1617
Mailing address
PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000021658 | Other | OH | ANTHEM BCBS |
| 145180001 | Other | OH | CARESOURCE |
| 590007870 | Other | OH | RAILROAD MEDICARE |
| 0902901 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120329000141 | OH | Part B Supplier - Ambulance Service Supplier | 1658531652 | Practice locations: Cincinnati, 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 |
|---|---|---|---|
| 36D0938842 | City of Forest Park Fire Department | Certificate of waiver | Jan 14, 2028 |
National Provider Directory
National Provider DirectoryLocations
1201 W Kemper Rd
Cincinnati, OH 45240
Phone (513) 595-5243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716422400000",
"number": "1164419925",
"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": "1201 W KEMPER RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452401617",
"telephone_number": "513-595-5243",
"fax_number": "513-772-4464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF FOREST PARK",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-05",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "DONNIE",
"authorized_official_title_or_position": "CITY MANAGER",
"authorized_official_telephone_number": "513-595-5243"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000021658",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "145180001",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590007870",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0902901",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.