City of Urbana

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CITY OF URBANA

Doing business as

Urbana Fire Division

Practice address

107 E Market St
Urbana, OH 43078-2191

Phone

(937) 652-4371

Fax

(937) 652-4378

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Dean Ortlieb

Title

Chief

Phone

(937) 652-4375

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Urbana Fire Division Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1205999224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2041",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430507241",
            "telephone_number": "937-652-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MARKET ST",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782191",
            "telephone_number": "937-652-4371",
            "fax_number": "937-652-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF URBANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "ORTLIEB",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "937-652-4375"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020305100",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000029945",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "020305100",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8966650",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urbana Fire Division",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Urbana Fire Division",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Urbana, OH
• Providers in Urbana, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.