C B & S Joint Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EXEMPT Issued in OH

Legal business name

C B & S JOINT FIRE DISTRICT

Practice address

11 N Delaware St
Shiloh, OH 44878-9747

Phone

(419) 896-3966

NPI assigned

May 28, 2006

Last updated

Nov 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Burrer

Title

Fire Chief

Phone

(419) 545-0073

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1326095993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10361 SPARTAN DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452151220",
            "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": "11 N DELAWARE ST",
            "city": "SHILOH",
            "state": "OH",
            "postal_code": "448789747",
            "telephone_number": "419-896-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C B & S JOINT FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "BURRER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "419-545-0073"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "EXEMPT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590011797",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000155642",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0793548",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Marie Baith
• Kathy J Brown, CPM
• Amanda Copley, PTA
• Diana Lynn Gregory, LPN
• Jenna Renee Lambert
• Ashley Ohl-Schiffer
• Jessica Brooke Parmer

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.