Organization Active NPI

PMP Joint Ambulance District

  • Ambulance
  • McComb, OH
National Provider Identifier
1528045028
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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 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
36D0697929PMP Joint Ambulance District139 W Main, McComb, OH 45858Certificate of waiverAug 31, 2026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120329000368 OH Part B Supplier - Ambulance Service Supplier 5193985117 Practice locations: McComb, OH

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X N/A Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.