Active NPI
City of Middletown
Doing business as Middletown Division of Fire
- Land Ambulance
- Middletown, OH
National Provider Identifier
1205828902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2025
- 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
- Samantha J Zimmerman
- Title
- Finance Director
- Phone
- (513) 425-7832
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000021402 | Other | OH | ANTHEM |
| ========= | Other | OH | MEDICAL MUTUAL |
| P00149786 | Other | OH | RAILROAD MEDICARE |
| 0523982 | Medicaid | OH | |
| 087672800 | Other | DEPT. OF LABOR | |
| ========= | Other | OH BWC | |
| ========= | Other | UNITED HEALTHCARE | |
| ========= | Other | TRICARE |
Other names 1
- Middletown Division of Fire
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041105000856 | OH | Part B Supplier - Ambulance Service Supplier | 3971566423 | Practice locations: Middletown, OH |
National Provider Directory
National Provider Directory- Tax ID family
- City of Middletown
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Middletown, OH
- NPI 1396920682
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
- Chiropractic Associates, Incorporated
- Chirorelief LLC
- Scott Jinseok Cho, DO
- CHS - Kensington, Inc (The Residence at Kensington Place)
- Patricia A Ciambro, LICDC
- City of Refuge Dba One Way Farm (One Way Farm)
- Melanie A Clapp, LPN
- Clark Audiology LLC (Audiology Services)
- Clark RX LLC (Clark's RX Pharmacy)
- Ashley Clark, PHARMD
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.