Active NPI
City of Eaton
Doing business as City of Eaton Fire & EMS
- Ambulance
- Eaton, OH
National Provider Identifier
1487649745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 02035880013
- 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, 2018
- 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
- Brian Smith
- Title
- Fire Chief
- Phone
- (937) 456-5310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000021439 | Other | OH | ANTHEM |
| P00381347 | Other | OH | RAILROAD MEDICARE |
| 0297496 | Medicaid | OH |
Other names 1
- City of Eaton Fire & EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051003000220 | OH | Part B Supplier - Ambulance Service Supplier | 3375578933 | Practice locations: Eaton, OH |
National Provider Directory
National Provider DirectoryLocations
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.