Organization Active NPI

City of Middletown

Doing business as Middletown Division of Fire

  • Land Ambulance
  • Middletown, OH
National Provider Identifier
1205828902
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF MIDDLETOWN
Doing business as
Middletown Division of Fire
Practice address
1830 Yankee Rd
Middletown, OH 45044-5941
Phone
(513) 425-7996
Fax
(513) 425-1820
NPI assigned
Aug 18, 2005
Last updated
Apr 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Samantha J Zimmerman
Title
Finance Director
Phone
(513) 425-7832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1830 Yankee Rd
Middletown, OH 45044-5941

Mailing address

PO Box 634475
Cincinnati, OH 45263-4475
Phone (800) 962-1484

Other identifiers 8

IdentifierTypeStateIssuer
000000021402OtherOHANTHEM
=========OtherOHMEDICAL MUTUAL
P00149786OtherOHRAILROAD MEDICARE
0523982MedicaidOH
087672800OtherDEPT. OF LABOR
=========OtherOH BWC
=========OtherUNITED HEALTHCARE
=========OtherTRICARE

Other names 1

  • Middletown Division of Fire Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041105000856 OH Part B Supplier - Ambulance Service Supplier 3971566423 Practice locations: Middletown, OH

National Provider Directory

National Provider Directory
Tax ID family
City of Middletown2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1830 Yankee Rd
Middletown, OH 45044
Phone (513) 425-7996

2300 Roosevelt Blvd
Middletown, OH 45044
Phone (513) 425-7766

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1205828902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634475",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452634475",
            "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": "1830 YANKEE RD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450445941",
            "telephone_number": "513-425-7996",
            "fax_number": "513-425-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MIDDLETOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "513-425-7832"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000021402",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "=========",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00149786",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0523982",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR",
            "identifier": "087672800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH BWC",
            "identifier": "=========",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "=========",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "=========",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middletown Division of Fire",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Middletown Division of Fire",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.