Organization Active NPI

City of Eaton

Doing business as City of Eaton Fire & EMS

  • Ambulance
  • Eaton, OH
National Provider Identifier
1487649745
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
02035880013 Issued in OH
Legal business name
CITY OF EATON
Doing business as
City of Eaton Fire & EMS
Practice address
328 N Maple St
Eaton, OH 45320-1830
Phone
(937) 456-5310
Fax
(937) 456-5311
NPI assigned
Sep 13, 2005
Last updated
Nov 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Authorized official

Name
Brian Smith
Title
Fire Chief
Phone
(937) 456-5310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 02035880013 OH Primary

Addresses

Primary practice location

328 N Maple St
Eaton, OH 45320-1830

Mailing address

PO Box 645198
Cincinnati, OH 45264-5198
Phone (866) 631-2658

Other identifiers 3

IdentifierTypeStateIssuer
000000021439OtherOHANTHEM
P00381347OtherOHRAILROAD MEDICARE
0297496MedicaidOH

Other names 1

  • City of Eaton Fire & EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051003000220 OH Part B Supplier - Ambulance Service Supplier 3375578933 Practice locations: Eaton, OH

National Provider Directory

National Provider Directory

Locations

328 N Maple St
Eaton, OH 45320
Phone (937) 456-5310

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1487649745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645198",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452645198",
            "telephone_number": "866-631-2658",
            "fax_number": "937-291-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 N MAPLE ST",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453201830",
            "telephone_number": "937-456-5310",
            "fax_number": "937-456-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF EATON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "937-456-5310"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "02035880013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000021439",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00381347",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0297496",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Eaton Fire & EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eaton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.

Verify at the official NPI Registry.