Active NPI
Village of Sherrodsville
- Ambulance
- Sherrodsville, OH
National Provider Identifier
1306988357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 021016900
- Legal business name
- VILLAGE OF SHERRODSVILLE
- Practice address
- 4 Sherrod Ave
Sherrodsville, OH 44675 - Phone
- (740) 269-5025
- NPI assigned
- Feb 13, 2007
- Organization subpart
- Yes
- Parent organization
- VILLAGE OF SHERRODSVILLE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Roxanne Mazur
- Title
- Fiscal Officer
- Phone
- (740) 269-5025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 021016900 | OH | Primary |
Addresses
Primary practice location
4 Sherrod Ave
Sherrodsville, OH 44675
Mailing address
PO Box 31
Sherrodsville, OH 44675-0031
Phone (740) 269-5025
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0541024 | Medicaid | OH | |
| 000000229642 | Other | OH | BCBS |
Other names 1
- SHERRODSVILLE EMS
National Provider Directory
National Provider Directory- Part of
- Sherrodsville Emergency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450310400000",
"number": "1306988357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31",
"city": "SHERRODSVILLE",
"state": "OH",
"postal_code": "446750031",
"telephone_number": "740-269-5025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 SHERROD AVE",
"city": "SHERRODSVILLE",
"state": "OH",
"postal_code": "44675",
"telephone_number": "740-269-5025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF SHERRODSVILLE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VILLAGE OF SHERRODSVILLE",
"enumeration_date": "2007-02-13",
"last_updated": "2015-12-17",
"status": "A",
"authorized_official_last_name": "MAZUR",
"authorized_official_first_name": "ROXANNE",
"authorized_official_title_or_position": "FISCAL OFFICER",
"authorized_official_telephone_number": "740-269-5025",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "OH",
"license": "021016900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0541024",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000229642",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SHERRODSVILLE EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sherrodsville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.