Organization Active NPI

Cridersville Volunteer Fire Department

Doing business as Cridersville Volunteer Fire Company Inc

  • Land Ambulance
  • Cridersville, OH
National Provider Identifier
1518941871
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
02-132600 Issued in OH
Legal business name
CRIDERSVILLE VOLUNTEER FIRE DEPARTMENT
Doing business as
Cridersville Volunteer Fire Company Inc
Practice address
100 E Main St
Cridersville, OH 45806-2321
Phone
(419) 645-4000
Fax
(419) 645-4000
NPI assigned
Nov 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Authorized official

Name
Rick Miller
Title
Fire/EMS Chief
Phone
(419) 645-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 02-132600 OH Primary

Addresses

Primary practice location

100 E Main St
Cridersville, OH 45806-2321

Mailing address

100 E Main St
Cridersville, OH 45806-2321
Phone (419) 645-4000

Other names 1

  • Cridersville Volunteer Fire Company Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050425000688 OH Part B Supplier - Ambulance Service Supplier 8628016193 Practice locations: Cridersville, OH

National Provider Directory

National Provider Directory

Locations

100 E Main St
Cridersville, OH 45806
Phone (419) 645-4000

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1518941871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E MAIN ST",
            "city": "CRIDERSVILLE",
            "state": "OH",
            "postal_code": "458062321",
            "telephone_number": "419-645-4000",
            "fax_number": "419-645-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E MAIN ST",
            "city": "CRIDERSVILLE",
            "state": "OH",
            "postal_code": "458062321",
            "telephone_number": "419-645-4000",
            "fax_number": "419-645-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRIDERSVILLE VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "FIRE/EMS  CHIEF",
        "authorized_official_telephone_number": "419-645-4000"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "02-132600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cridersville Volunteer Fire Company Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cridersville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.

Verify at the official NPI Registry.