Organization Active NPI

Quad Ambulance District

  • Ambulance
  • Waynesburg, OH
National Provider Identifier
1518039676
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
02-0309300 Issued in OH
Legal business name
QUAD AMBULANCE DISTRICT
Practice address
6930 Minerva Rd SE
Waynesburg, OH 44688-9320
Phone
(330) 866-9847
Fax
(330) 866-2310
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Mr. Steve Vanmeter
Title
EMS Chief
Phone
(330) 866-9847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 02-0309300 OH Primary

Addresses

Primary practice location

6930 Minerva Rd SE
Waynesburg, OH 44688-9320

Mailing address

PO Box 33
Waynesburg, OH 44688-0033
Phone (330) 866-9847

Other identifiers 5

IdentifierTypeStateIssuer
0737493MedicaidOH
00066955OtherOHRRMEDICARE
020309300OtherOHBOARD OF PHARMACY
800425OtherOHBLACKLUNG
000000309781OtherOHBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091211000459 OH Part B Supplier - Ambulance Service Supplier 0244370849 Practice locations: Waynesburg, 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
36D0968399Quad Ambulance District6930 Minerva Road, Waynesburg, OH 44688Certificate of waiverDec 9, 2027

National Provider Directory

National Provider Directory

Locations

6930 Minerva Rd SE
Waynesburg, OH 44688
Phone (330) 866-3894

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1518039676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33",
            "city": "WAYNESBURG",
            "state": "OH",
            "postal_code": "446880033",
            "telephone_number": "330-866-9847",
            "fax_number": "330-866-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 MINERVA RD SE",
            "city": "WAYNESBURG",
            "state": "OH",
            "postal_code": "446889320",
            "telephone_number": "330-866-9847",
            "fax_number": "330-866-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "VANMETER",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "330-866-9847",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "02-0309300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0737493",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE",
            "identifier": "00066955",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "020309300",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACKLUNG",
            "identifier": "800425",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000309781",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesburg, OH

Sources for this page

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