Active NPI
City of West Carrollton
- Ambulance
- Dayton, OH
National Provider Identifier
1184614729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ========= | Other | OH | TRICARE 4 LIFE |
| 2097163 | Medicaid | OH | |
| 000000021411 | Other | OH | ANTHEM BCBS |
| ========= | Other | OH | MEDICAL MUTUAL OF OHIO |
| 287940001 | Other | OH | CARESOURCE |
| ========= | Other | OH | BUREAU OF WORKERS COMP |
| 590012556 | 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 |
|---|---|---|---|---|
| O20111207000332 | OH | Part B Supplier - Ambulance Service Supplier | 3779758537 | Practice locations: West Carrollton, OH |
National Provider Directory
National Provider DirectoryLocations
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.