Active NPI
City of Mason Ohio
- Ambulance
- Mason, OH
National Provider Identifier
1396790549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- CITY OF MASON OHIO
- Practice address
- 4420 Mason Montgomery Rd
Mason, OH 45040-1578 - Phone
- (800) 962-1484
- Fax
- (513) 772-4464
- NPI assigned
- May 24, 2006
- Last updated
- May 21, 2024
- 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
- Bryan Brumagen
- Title
- Chief
- Phone
- (513) 229-8540
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | Primary |
Addresses
Primary practice location
4420 Mason Montgomery Rd
Mason, OH 45040-1578
Mailing address
PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000036808 | Other | OH | ANTHEM |
| 590013114 | Other | OH | RAILROAD MEDICARE |
| 2216275 | Medicaid | OH | |
| 297020001 | Other | OH | CARESOURCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090126000170 | OH | Part B Supplier - Ambulance Service Supplier | 6103980834 | Practice locations: Mason, OH |
National Provider Directory
National Provider DirectoryLocations
4420 Mason Montgomery Rd
Mason, OH 45040
Phone (513) 229-8540
6000 S Mason Montgomery Rd
Mason, OH 45040
Phone (513) 229-8540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716249600000",
"number": "1396790549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 392907",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152519907",
"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": "4420 MASON MONTGOMERY RD",
"city": "MASON",
"state": "OH",
"postal_code": "450401578",
"telephone_number": "800-962-1484",
"fax_number": "513-772-4464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF MASON OHIO",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A",
"authorized_official_last_name": "BRUMAGEN",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "513-229-8540"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000036808",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590013114",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2216275",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "297020001",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mason, OH
- Michael A Chunn, MD
- Lauren Churchey, FNP-C
- Cincinnati Children's Hospital Medical Center
- Cincinnati Oriental Medicine Clinic
- Cincinnati Sportsmedicine and Orthopaedic Center, Inc.
- Clarigent Corporation (Clarigent Health)
- Donald Clark, R.PH.
- Rebecca Noelle Clark
- Cieradanielle Carie Clarke, BA
- Heather Nicole Clem, L.M.T
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.