Village of Hebron

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

VILLAGE OF HEBRON

Doing business as

Village of Hebron Fire & EMS

Practice address

111 Basin St
Hebron, OH 43025-6000

Phone

(740) 928-4721

Fax

(740) 928-2726

NPI assigned

May 18, 2007

Last updated

Oct 4, 2019By 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

Clifford L. Mason Jr.

Title

Fire Chief

Phone

(740) 928-4721

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Village of Hebron Fire & EMS Doing business as

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1407064918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2013",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430507213",
            "telephone_number": "866-631-4551",
            "fax_number": "937-291-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BASIN ST",
            "city": "HEBRON",
            "state": "OH",
            "postal_code": "430256000",
            "telephone_number": "740-928-4721",
            "fax_number": "740-928-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF HEBRON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "740-928-4721",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "FCY.020318400-13",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2852159",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village of Hebron Fire & EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phyllis Stevens, M.A.
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• Sheila Michelle Winchell, D.C.
• Katherine Wright
• Marcella Wright
• Swati Yadav
• Tamara Nichole Yates, MSN, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.