Organization Active NPI

Greentown Volunteer Fire Department, Inc.

  • Land Ambulance
  • Uniontown, OH
National Provider Identifier
1487719761
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
GREENTOWN VOLUNTEER FIRE DEPARTMENT, INC.
Practice address
10100 Cleveland Ave NW
Uniontown, OH 44685-9413
Phone
(330) 494-3002
Fax
(330) 966-7266
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Authorized official

Name
Mr. Jeremy Lee Guenther
Title
Asst Chief
Phone
(330) 494-3002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

10100 Cleveland Ave NW
Uniontown, OH 44685-9413

Mailing address

10100 Cleveland Ave NW
Uniontown, OH 44685-9413
Phone (330) 494-3002

Other identifiers 1

IdentifierTypeStateIssuer
2495536MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040614000018 OH Part B Supplier - Ambulance Service Supplier 7113900705 Practice locations: Uniontown, OH

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
36D0974225Greentown Volunteer Fire Department10100 Cleveland Avenue NW, Uniontown, OH 44685Certificate of waiverMay 31, 2028

National Provider Directory

National Provider Directory

Locations

10100 Cleveland Ave NW
Uniontown, OH 44685
Phone (330) 494-3002

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1487719761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 CLEVELAND AVE NW",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446859413",
            "telephone_number": "330-494-3002",
            "fax_number": "330-966-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 CLEVELAND AVE NW",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446859413",
            "telephone_number": "330-494-3002",
            "fax_number": "330-966-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENTOWN VOLUNTEER FIRE DEPARTMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "GUENTHER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ASST CHIEF",
        "authorized_official_telephone_number": "330-494-3002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2495536",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.