Williamsport and Deercreek Emergency Squad

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

WILLIAMSPORT AND DEERCREEK EMERGENCY SQUAD

Practice address

405 Mill Street
Williamsport, OH 43164-9800

Phone

(440) 605-9117

Fax

(440) 442-4443

NPI assigned

Aug 2, 2005

Organization subpart

No

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

Authorized official

Name

Gary Wright

Title

Chief

Phone

(740) 986-4019

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1316948292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21727",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441210727",
            "telephone_number": "440-605-9117",
            "fax_number": "440-442-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MILL STREET",
            "city": "WILLIAMSPORT",
            "state": "OH",
            "postal_code": "431649800",
            "telephone_number": "440-605-9117",
            "fax_number": "440-442-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSPORT AND DEERCREEK EMERGENCY SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "740-986-4019"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000379087",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2611276",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00237229",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Rose Keaton-Cathel
• Pickaway Health Services
• Courtney Kay Riddick, RN
• Olivia S Smith
• Westfall Local School District
• Sandra Carol Young, LPN

• Land Ambulance in Williamsport, OH
• Providers in Williamsport, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.