Village of Mingo Junction
Organization Active NPI Ambulance · Mingo Junction, OH
NPI 1487724233 · NPPES record last updated Oct 2, 2024
Key facts
- NPI
- 1487724233
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- VILLAGE OF MINGO JUNCTION
- Practice address
- 501 Commercial Street
Mingo Junction, OH 43938-1233 - Phone
- (740) 535-9165
- Fax
- (740) 535-1125
- NPI assigned
- Nov 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Austin Raymond
- Title
- Fire Chief
- Phone
- (740) 535-9165
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120822000546 | OH | Part B Supplier - Ambulance Service Supplier | 0749437911 | Practice locations: Mingo Junction, OH |
National Provider Directory
Locations
501 Commercial St
Mingo Junction, OH 43938
Phone (740) 535-9165
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Yes |
Addresses
Primary practice location
501 Commercial Street
Mingo Junction, OH 43938-1233
Mailing address
836 4TH Ave
Huntington, WV 25701-1407
Phone (304) 521-1576
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005844685 | Other | AETNA | |
| 000000155999 | Other | ANTHEM | |
| 0448466 | Medicaid | OH |
Other names
- Mingo Fire Dept & EMS
Other providers in Mingo Junction, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.