Organization Active NPI

Gettysburg Rural Fire Department, Inc

  • Ambulance
  • Gettysburg, OH
National Provider Identifier
1205800950
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
02097135011854 Issued in OH
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

Updated by the provider on Feb 17, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0797455MedicaidOH
000000360545OtherOHBC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050518000966 OH Part B Supplier - Ambulance Service Supplier 5092756130 Practice locations: Gettysburg, OH

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.