NPIMap

Organization Active NPI

County of Putnam Office of Auditor

Doing business as Putnam County EMS

  • Ambulance
  • Glandorf, OH
National Provider Identifier
1194770248
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
COUNTY OF PUTNAM OFFICE OF AUDITOR
Doing business as
Putnam County EMS
Practice address
117 Dr Thatye Drive
Glandorf, OH 45848
Phone
(419) 538-7315
Fax
(419) 538-7319
NPI assigned
May 24, 2006
Last updated
Oct 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Authorized official

Name
Mr. Michael Lee Klear
Title
Director
Phone
(419) 538-7315

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary
Land Ambulance 3416L0300X NU

Addresses

Primary practice location

117 Dr Thatye Drive
Glandorf, OH 45848

Mailing address

PO Box 21727
Cleveland, OH 44121-0727
Phone (440) 605-9117

Other identifiers 4

IdentifierTypeStateIssuer
34640113700OtherOHBWC
000000156068OtherOHANTHEM BCBS
0248244MedicaidOH
590012253OtherOHRAILROAD MEDICARE

Other names 1

  • Putnam County EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060124000567 OH Part B Supplier - Ambulance Service Supplier 0143244566 Practice locations: Columbus Grove, OH; Continental, OH; Glandorf, OH; Kalida, OH; Leipsic, OH; Ottawa, OH; Ottoville, OH; Pandora, OH

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
36D2054862Putnam County EMS117 Dr Thatye Dr, Glandorf, OH 45848Certificate of waiverFeb 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
County of Putnam5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1194770248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21727",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441210727",
            "telephone_number": "440-605-9117",
            "fax_number": "440-442-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 DR THATYE DRIVE",
            "city": "GLANDORF",
            "state": "OH",
            "postal_code": "45848",
            "telephone_number": "419-538-7315",
            "fax_number": "419-538-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF PUTNAM OFFICE OF AUDITOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "KLEAR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-538-7315",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "34640113700",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000156068",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0248244",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590012253",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Putnam County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glandorf, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.