North Central Ambulance District
Organization Active NPI Land Ambulance · Eldorado, OH
NPI 1316945124 · NPPES record last updated Sep 2, 2025
Key facts
- NPI
- 1316945124
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 020991450 (OH)
- Legal business name
- NORTH CENTRAL AMBULANCE DISTRICT
- Practice address
- 131 East Main Cross
Eldorado, OH 45321-9998 - Phone
- (937) 533-5639
- Fax
- (304) 521-1576
- NPI assigned
- Jul 14, 2005
- Organization subpart
- No
Authorized official
- Name
- Tabetha S Hart
- Title
- Chief
- Phone
- (737) 533-5639
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040304000021 | OH | Part B Supplier - Ambulance Service Supplier | 4082501945 | Practice locations: Eldorado, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 020991450 | OH | Yes |
Addresses
Primary practice location
131 East Main Cross
Eldorado, OH 45321-9998
Mailing address
836 4TH Avenue
Huntington, WV 25701-1407
Phone (304) 521-1576
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000008067 | Other | OH | BCBS OF OH |
| 590000069 | Other | OH | RAILROAD MEDICARE |
| 000000008067 | Other | OH | ANTHEM |
| 0145838000 | Other | WV | WV MEDICAID |
| 0357975 | Medicaid | OH | |
| 0410433 | Medicaid | OH | |
| 200361400A | Medicaid | IN |
Other names
- Gallia County Emergency Medical Service
Other providers in Eldorado, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 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.