Active NPI
Village of Mt. Orab
- Land Ambulance
- Mount Orab, OH
National Provider Identifier
1548444185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- VILLAGE OF MT. ORAB
- Practice address
- 115 Spice St
Mount Orab, OH 45154-8932 - Phone
- (937) 444-3903
- NPI assigned
- Dec 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicholas Rymer
- Title
- Fire Chief
- Phone
- (937) 444-3903
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
115 Spice St
Mount Orab, OH 45154-8932
Mailing address
PO Box 2122
Riverview, MI 48193-1122
Phone (734) 224-4474
Other names 1
- Mt Orab Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080508000463 | OH | Part B Supplier - Ambulance Service Supplier | 6608955158 | Practice locations: Mount Orab, OH; Williamsburg, OH |
National Provider Directory
National Provider DirectoryLocations
15136 Eastwood Rd
Williamsburg, OH 45176
Phone (937) 444-3903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710028800000",
"number": "1548444185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2122",
"city": "RIVERVIEW",
"state": "MI",
"postal_code": "481931122",
"telephone_number": "734-224-4474",
"fax_number": "734-479-6319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 SPICE ST",
"city": "MOUNT ORAB",
"state": "OH",
"postal_code": "451548932",
"telephone_number": "937-444-3903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF MT. ORAB",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-18",
"last_updated": "2024-03-10",
"certification_date": "2024-03-10",
"status": "A",
"authorized_official_last_name": "RYMER",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "937-444-3903"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mt Orab Fire Department",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mount Orab, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.