Active NPI
PMP Joint Ambulance District
- Ambulance
- McComb, OH
National Provider Identifier
1528045028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- N/A
- Legal business name
- PMP JOINT AMBULANCE DISTRICT
- Practice address
- 139 W Main St
McComb, OH 45858 - Phone
- (419) 859-3772
- NPI assigned
- Dec 27, 2005
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Valerie L Kuenzli
- Title
- Clerk
- Phone
- (419) 859-3772
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0697929 | PMP Joint Ambulance District | Certificate of waiver | Aug 31, 2026 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120329000368 | OH | Part B Supplier - Ambulance Service Supplier | 5193985117 | Practice locations: McComb, OH |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | N/A | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
139 W Main St
McComb, OH 45858
Mailing address
5141 Township Road 79
Rawson, OH 45881-9636
Phone (419) 859-3772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1528045028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5141 TOWNSHIP ROAD 79",
"city": "RAWSON",
"state": "OH",
"postal_code": "458819636",
"telephone_number": "419-859-3772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 W MAIN ST",
"city": "MCCOMB",
"state": "OH",
"postal_code": "45858",
"telephone_number": "419-859-3772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PMP JOINT AMBULANCE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KUENZLI",
"authorized_official_first_name": "VALERIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CLERK",
"authorized_official_telephone_number": "419-859-3772"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": "N/A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McComb, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.