Organization Active NPI

Mt. Orab Fire Department, Inc.

  • Ambulance
  • Mount Orab, OH
National Provider Identifier
1326083841
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
MT. ORAB FIRE DEPARTMENT, INC.
Doing business as
Mt Orab Fire Dept EMS
Practice address
105 Spice St
Mount Orab, OH 45154-8932
Phone
(800) 962-1484
Fax
(513) 772-4464
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Lisa Reeves
Title
EMS Chief
Phone
(937) 444-3945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

105 Spice St
Mount Orab, OH 45154-8932

Mailing address

PO Box 621005
Cincinnati, OH 45262-1005
Phone (800) 962-1484

Other identifiers 2

IdentifierTypeStateIssuer
000000355121OtherOHANTHEM
0218400MedicaidOH

Other names 1

  • Mt Orab Fire Dept EMS Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0917798Village of Mt Orab Fire Department105 Spice Street, Mount Orab, OH 45154Certificate of waiverJul 25, 2028

National Provider Directory

National Provider Directory

Locations

105 Spice St
Mount Orab, OH 45154
Phone (937) 444-3945

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1326083841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621005",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452621005",
            "telephone_number": "800-962-1484",
            "fax_number": "513-772-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SPICE ST",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451548932",
            "telephone_number": "800-962-1484",
            "fax_number": "513-772-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. ORAB FIRE DEPARTMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "937-444-3945"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000355121",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0218400",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Orab Fire Dept EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Orab, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.