NPIMap

Organization Active NPI

Old Washington Community Volunteer Fire Company

  • Land Ambulance
  • Old Washington, OH
National Provider Identifier
1528328119
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS.022188700 Issued in OH
Legal business name
OLD WASHINGTON COMMUNITY VOLUNTEER FIRE COMPANY
Practice address
221 Beymer Street
Old Washington, OH 43768
Phone
(740) 489-5111
NPI assigned
May 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Authorized official

Name
Trenton H Dennis
Title
President
Phone
(740) 489-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMS.022188700 OH Primary

Addresses

Primary practice location

221 Beymer Street
Old Washington, OH 43768

Mailing address

PO Box 205
Old Washington, OH 43768-0205

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121017000891 OH Part B Supplier - Ambulance Service Supplier 7911157482 Practice locations: Old Washington, OH

National Provider Directory

National Provider Directory
Tax ID family
Old Washington Community Volunteer Fire Company2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1528328119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 205",
            "city": "OLD WASHINGTON",
            "state": "OH",
            "postal_code": "437680205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BEYMER STREET",
            "city": "OLD WASHINGTON",
            "state": "OH",
            "postal_code": "43768",
            "telephone_number": "740-489-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD WASHINGTON COMMUNITY VOLUNTEER FIRE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "TRENTON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-489-5111"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "EMS.022188700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Washington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.