Active NPI
Or & W Fire District
- Land Ambulance
- Shadyside, OH
National Provider Identifier
1306847017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 020313700
- Legal business name
- OR & W FIRE DISTRICT
- Practice address
- 4210 Central Ave
Shadyside, OH 43947-1211 - Phone
- (740) 676-1910
- Fax
- (740) 676-1084
- NPI assigned
- Aug 3, 2005
- Organization subpart
- Yes
- Parent organization
- OR & W FIRE DISTRICT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- RC Fellows
- Title
- Chief
- Phone
- (740) 676-9642
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 020313700 | OH | Primary |
Addresses
Primary practice location
4210 Central Ave
Shadyside, OH 43947-1211
Mailing address
650 N Cannon Ave # 52
Lansdale, PA 19446-1874
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 346002612 | Other | OH | RAILROAD MEDICARE |
| 346002612000 | Other | OH | BWC STATE OF OHIO |
| 2413605 | Medicaid | OH |
Other names 1
- Village of Shadyside
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131204000670 | OH | Part B Supplier - Ambulance Service Supplier | 0345476990 | Practice locations: Shadyside, OH |
National Provider Directory
National Provider Directory- Part of
- Village of Shadyside
Locations
4210 Central Ave
Shadyside, OH 43947
Phone (740) 676-1910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782950400000",
"number": "1306847017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 N CANNON AVE # 52",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194461874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4210 CENTRAL AVE",
"city": "SHADYSIDE",
"state": "OH",
"postal_code": "439471211",
"telephone_number": "740-676-1910",
"fax_number": "740-676-1084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OR & W FIRE DISTRICT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OR & W FIRE DISTRICT",
"enumeration_date": "2005-08-03",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A",
"authorized_official_last_name": "FELLOWS",
"authorized_official_first_name": "RC",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "740-676-9642"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "OH",
"license": "020313700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "346002612",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC STATE OF OHIO",
"identifier": "346002612000",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2413605",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Village of Shadyside",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Shadyside, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.