Village of Bainbridge

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

VILLAGE OF BAINBRIDGE

Practice address

103 1/2 West Fifth Street
Bainbridge, OH 45612

Phone

(740) 634-3058

NPI assigned

Aug 8, 2022

Organization subpart

No

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

Authorized official

Name

Branson P Leisure

Title

Fire Chief

Phone

(740) 703-1857

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1548997679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519907",
            "telephone_number": "800-962-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 1/2 WEST FIFTH STREET",
            "city": "BAINBRIDGE",
            "state": "OH",
            "postal_code": "45612",
            "telephone_number": "740-634-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF BAINBRIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "LEISURE",
        "authorized_official_first_name": "BRANSON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "740-703-1857"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer A Thompson
• Victor Townsend
• Trusted Health Care, Inc
• Angelo Turner, QMHS
• Jacob Reed Vaughn, QMHS
• Dakota Daniel Wagoner
• Bret Walker, LCDC III
• Caleb Thomas Watkins
• Randy Allen White, PROVIDER
• Megan M Whitis, CDCA

• Ambulance in Bainbridge, OH
• Providers in Bainbridge, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.