Organization Active NPI

City of Forest Park

  • Ambulance
  • Cincinnati, OH
National Provider Identifier
1164419925
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on May 23, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000021658OtherOHANTHEM BCBS
145180001OtherOHCARESOURCE
590007870OtherOHRAILROAD MEDICARE
0902901MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120329000141 OH Part B Supplier - Ambulance Service Supplier 1658531652 Practice locations: Cincinnati, 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
36D0938842City of Forest Park Fire Department1201 West Kemper Road, Forest Park, OH 45240Certificate of waiverJan 14, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.