Organization Active NPI

City of West Carrollton

  • Ambulance
  • Dayton, OH
National Provider Identifier
1184614729
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF WEST CARROLLTON
Practice address
125 W Central Ave
Dayton, OH 45449
Phone
(937) 847-4645
Fax
(937) 847-4644
NPI assigned
Oct 25, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Chris Barnett
Title
Chief
Phone
(937) 847-4645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

125 W Central Ave
Dayton, OH 45449

Mailing address

PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484

Other identifiers 7

IdentifierTypeStateIssuer
=========OtherOHTRICARE 4 LIFE
2097163MedicaidOH
000000021411OtherOHANTHEM BCBS
=========OtherOHMEDICAL MUTUAL OF OHIO
287940001OtherOHCARESOURCE
=========OtherOHBUREAU OF WORKERS COMP
590012556OtherOHRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111207000332 OH Part B Supplier - Ambulance Service Supplier 3779758537 Practice locations: West Carrollton, OH

National Provider Directory

National Provider Directory

Locations

1700 S Alex Rd
West Carrollton, OH 45449
Phone (937) 847-4645

300 E Central Ave
West Carrollton, OH 45449
Phone (937) 847-4645

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1184614729",
    "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": "125 W CENTRAL AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45449",
            "telephone_number": "937-847-4645",
            "fax_number": "937-847-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WEST CARROLLTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "937-847-4645"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE 4 LIFE",
            "identifier": "=========",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2097163",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000021411",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "=========",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "287940001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF WORKERS COMP",
            "identifier": "=========",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590012556",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.