Active NPI
New Pittsburg Fire and Rescue Association Inc
- Ambulance
- Wooster, OH
National Provider Identifier
1346423746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 02-0941450
- Legal business name
- NEW PITTSBURG FIRE AND RESCUE ASSOCIATION INC
- Practice address
- 3311 N Elyria Rd
Wooster, OH 44691-7645 - Phone
- (330) 264-1230
- NPI assigned
- Dec 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roger Kamp
- Title
- Treasurer
- Phone
- (330) 264-1230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 02-0941450 | OH | Primary |
Addresses
Primary practice location
3311 N Elyria Rd
Wooster, OH 44691-7645
Mailing address
3311 N Elyria Rd
Wooster, OH 44691-7645
Phone (330) 264-1230
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00845802 | Other | OH | RAILROAD |
| 2855405 | Medicaid | OH | |
| 020941450 | Other | OH | PHARMACY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080215000000 | OH | Part B Supplier - Ambulance Service Supplier | 1658454590 | Practice locations: Wooster, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D1076494 | New Pittsburg Fire and Rescue Association Inc | Certificate of waiver | Nov 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
3311 N Elyria Rd
Wooster, OH 44691
Phone (330) 264-1230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651708800000",
"number": "1346423746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3311 N ELYRIA RD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446917645",
"telephone_number": "330-264-1230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3311 N ELYRIA RD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446917645",
"telephone_number": "330-264-1230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW PITTSBURG FIRE AND RESCUE ASSOCIATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-10",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A",
"authorized_official_last_name": "KAMP",
"authorized_official_first_name": "ROGER",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "330-264-1230"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "OH",
"license": "02-0941450",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00845802",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2855405",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "020941450",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.