City of New Concord
Organization Active NPI Land Ambulance · New Concord, OH
NPI 1295853653 · NPPES record last updated Apr 14, 2025
Key facts
- NPI
- 1295853653
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- CITY OF NEW CONCORD
- Practice address
- 2 W Main St
New Concord, OH 43762-1219 - Phone
- (740) 291-9086
- Fax
- (740) 826-7671
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Shane Barkley
- Title
- Fire Chief
- Phone
- (740) 291-9086
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090526000445 | OH | Part B Supplier - Ambulance Service Supplier | 4284783192 | Practice locations: New Concord, OH |
National Provider Directory
Locations
2 W Main St
New Concord, OH 43762
Phone (740) 291-9086
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
2 W Main St
New Concord, OH 43762-1219
Mailing address
PO Box 10
New Concord, OH 43762-0010
Phone (740) 291-9086
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0741460 | Medicaid | OH |
Other providers in New Concord, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 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.