Bascom Joint Fire District
Organization Active NPI Ambulance · Bascom, OH
NPI 1255291316 · NPPES record last updated Nov 12, 2025
Key facts
- NPI
- 1255291316
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- BASCOM JOINT FIRE DISTRICT
- Practice address
- 5450 West State Route 18
Bascom, OH 44809 - Phone
- (567) 278-1968
- NPI assigned
- Nov 12, 2025
- Organization subpart
- No
Authorized official
- Name
- Mrs. Victoria A Coppus
- Title
- Fiscal Officer
- Phone
- (567) 278-1968
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260123002147 | OH | Part B Supplier - Ambulance Service Supplier | 5092292771 | Practice locations: Bascom, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Yes |
Addresses
Primary practice location
5450 West State Route 18
Bascom, OH 44809
Mailing address
PO Box 132
Bascom, OH 44809-0132
Phone (567) 278-1968
Other providers in Bascom, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.