Active NPI
Gettysburg Rural Fire Department, Inc
- Ambulance
- Gettysburg, OH
National Provider Identifier
1205800950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 02097135011854
- Legal business name
- GETTYSBURG RURAL FIRE DEPARTMENT, INC
- Practice address
- 215 Factory St
Gettysburg, OH 45328 - Phone
- (937) 447-2121
- NPI assigned
- Feb 16, 2006
- 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
- Thomas Hill
- Title
- Fire Chief
- Phone
- (937) 459-8936
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 02097135011854 | OH | Primary |
Addresses
Primary practice location
215 Factory St
Gettysburg, OH 45328
Mailing address
215 Factory St
Gettysburg, OH 45328
Phone (937) 447-2121
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0797455 | Medicaid | OH | |
| 000000360545 | Other | OH | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050518000966 | OH | Part B Supplier - Ambulance Service Supplier | 5092756130 | Practice locations: Gettysburg, OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329436800000",
"number": "1205800950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 FACTORY ST",
"city": "GETTYSBURG",
"state": "OH",
"postal_code": "45328",
"telephone_number": "937-447-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 FACTORY ST",
"city": "GETTYSBURG",
"state": "OH",
"postal_code": "45328",
"telephone_number": "937-447-2121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GETTYSBURG RURAL FIRE DEPARTMENT, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-16",
"last_updated": "2012-02-17",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "937-459-8936"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "OH",
"license": "02097135011854",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0797455",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000000360545",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.