Mineral-Sandy Ambulance District

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

MINERAL-SANDY AMBULANCE DISTRICT

Practice address

8495 S High Street
Mineral City, OH 44656

Phone

(330) 859-2195

Fax

(330) 874-4302

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Maxine M Elliott

Title

Clerk

Phone

(330) 859-2195

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1336251933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 454",
            "city": "MINERAL CITY",
            "state": "OH",
            "postal_code": "446560454",
            "telephone_number": "330-859-2195",
            "fax_number": "330-874-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8495 S HIGH STREET",
            "city": "MINERAL CITY",
            "state": "OH",
            "postal_code": "44656",
            "telephone_number": "330-859-2195",
            "fax_number": "330-874-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINERAL-SANDY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLERK",
        "authorized_official_telephone_number": "330-859-2195"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "021010850",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2346992",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kasey Jo Fishley, AGNP-C
• Heiwa Center
• Heiwa Center - North
• Lori Jackson
• Becky Kay Krisher, M.A., CCC-SLP
• Allyson Moser, LMT
• Aaron Weber, LMT
• Cherie Weber, LMT
• Jaclyn Rae Wood, RN
• Naomi Young, LMT

• Ambulance in Mineral City, OH
• Providers in Mineral City, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.