NPIMap

Organization Active NPI

Harrison County

Doing business as Harrison County Emergency Service

  • Ambulance
  • Cadiz, OH
National Provider Identifier
1265466569
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
HARRISON COUNTY
Doing business as
Harrison County Emergency Service
Practice address
100 West Market Street
Cadiz, OH 43907-1132
Phone
(740) 942-4623
Fax
(740) 942-4090
NPI assigned
Jul 10, 2006
Last updated
Nov 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Astachea M Thomas
Title
Administrative Assistant
Phone
(740) 942-8867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X OH Primary

Addresses

Primary practice location

100 West Market Street
Cadiz, OH 43907-1132

Mailing address

PO Box 175
Cadiz, OH 43907-0175
Phone (740) 942-4623

Other identifiers 4

IdentifierTypeStateIssuer
N6001338OtherOHHEALTH PLAN
863223OtherOHBLACK LUNG
590532012OtherOHRAILROAD
0257261MedicaidOH

Other names 1

  • HARRISON COUNTY EMERGENCY SERVICE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060927000599 OH Part B Supplier - Ambulance Service Supplier 3274538160 Practice locations: Scio, OH; Tippecanoe, OH; Piedmont, OH; New Athens, OH; Moorefield, OH; Freeport, OH; Deersville, OH; Bowerston, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Harrison County

    dba Harrison County Health Department

    • Public Health or Welfare Agency
    • Cadiz, OH
    • NPI 1225170525

    3274538160

    Same PAC ID

National Provider Directory

National Provider Directory
Tax ID family
Harrison County EMS3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

100 W Market St
Cadiz, OH 43907
Phone (740) 942-4623

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1265466569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "CADIZ",
            "state": "OH",
            "postal_code": "439070175",
            "telephone_number": "740-942-4623",
            "fax_number": "740-942-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST MARKET STREET",
            "city": "CADIZ",
            "state": "OH",
            "postal_code": "439071132",
            "telephone_number": "740-942-4623",
            "fax_number": "740-942-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ASTACHEA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "740-942-8867"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN",
            "identifier": "N6001338",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "863223",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "590532012",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0257261",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARRISON COUNTY EMERGENCY SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cadiz, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.