NPIMap

Organization Active NPI

City of Wooster

Doing business as Wooster Division of Fire

  • Land Ambulance
  • Wooster, OH
National Provider Identifier
1417949272
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF WOOSTER
Doing business as
Wooster Division of Fire
Practice address
510 N Market St
Wooster, OH 44691-3406
Phone
(330) 263-5266
NPI assigned
Aug 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Authorized official

Name
Aaron Montgomery
Title
Admin Director
Phone
(330) 263-5266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

510 N Market St
Wooster, OH 44691-3406

Mailing address

PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484

Other identifiers 2

IdentifierTypeStateIssuer
0260800MedicaidOH
000000178561OtherOHANTHEM BCBS

Other names 1

  • Wooster Division of Fire Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310001241 OH Part B Supplier - Ambulance Service Supplier 7810886710 Practice locations: Wooster, OH

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1074920Wooster Division of Fire510 North Market Street, Wooster, OH 44691Certificate of waiverOct 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
City of Wooster6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

538 N Market St
Wooster, OH 44691

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wooster Community HospitalWooster, OH, CCN 360036 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 23, 1966
Wooster Community HospitalWooster, OH, CCN 36T036 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Wooster Community Hospital SNFWooster, OH, CCN 366405 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Nov 16, 2011
Nov 16, 2011
Wooster Community Hospital Home Health ServicesWooster, OH, CCN 367624 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jan 10, 1995

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • City of Wooster

    dba Wooster Community Hospital

    • General Acute Care Hospital
    • Wooster, OH
    • NPI 1437156247

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • City of Wooster
    • Home Health Agency
    • Wooster, OH
    • NPI 1467472886

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • City of Wooster

    dba Wooster Community Hospital

    • Rehabilitation Hospital
    • Wooster, OH
    • NPI 1528195872

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • City of Wooster

    dba Wooster Community Hospital SNF

    • Skilled Nursing Facility
    • Wooster, OH
    • NPI 1851665566

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1417949272",
    "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": "510 N MARKET ST",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446913406",
            "telephone_number": "330-263-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WOOSTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "ADMIN DIRECTOR",
        "authorized_official_telephone_number": "330-263-5266"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0260800",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000178561",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wooster Division of Fire",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.