Active NPI
Delphos City
- Land Ambulance
- Delphos, OH
National Provider Identifier
1508919861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- DELPHOS CITY
- Practice address
- 125 E 2ND St
Delphos, OH 45833-1760 - Phone
- (419) 695-2911
- Fax
- (419) 695-2021
- NPI assigned
- Jan 19, 2007
- Last updated
- May 15, 2024
- 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
- Ms. Sherryl L George
- Title
- Administrative Assistant
- Phone
- (419) 695-4010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | OH | Primary |
Addresses
Primary practice location
125 E 2ND St
Delphos, OH 45833-1760
Mailing address
PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0425758 | Medicaid | OH | |
| 156055 | Other | OH | ANTHEM BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130502000226 | OH | Part B Supplier - Ambulance Service Supplier | 5092952416 | Practice locations: Delphos, OH |
National Provider Directory
National Provider DirectoryLocations
125 E 2nd St
Delphos, OH 45833
Phone (419) 695-2911
203 E 2nd St
Delphos, OH 45833
Phone (419) 695-2911
608 N Canal St
Delphos, OH 45833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715731200000",
"number": "1508919861",
"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": "125 E 2ND ST",
"city": "DELPHOS",
"state": "OH",
"postal_code": "458331760",
"telephone_number": "419-695-2911",
"fax_number": "419-695-2021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELPHOS CITY",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A",
"authorized_official_last_name": "GEORGE",
"authorized_official_first_name": "SHERRYL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
"authorized_official_telephone_number": "419-695-4010",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0425758",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "156055",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delphos, OH
- Heather Nicole Cook
- Mary E Coplin, FNP
- Lisa Marie Cross
- Stephen Joseph D'Abreau, DO
- Delphos Ambulatory Surgery Center Inc (Delphos ASC)
- Delphos City Schools
- Delphos Discount Drugs Inc (Delphos Discount Drugs)
- Delphos Family Dentistry, LLC, Seth P Askins, DDS
- Delphos Family Physicians Inc
- Delphos Medical Associates Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.