Wilmot Fire & Rescue, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

WILMOT FIRE & RESCUE, INC.

Practice address

204 Mill Street
Wilmot, OH 44689

Phone

(330) 359-5995

Fax

(330) 359-5896

NPI assigned

Jun 15, 2006

Last updated

May 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Frances E Miller

Title

EMS Liason

Phone

(330) 359-5995

Specialties & licenses 1

Addresses

Other identifiers 4

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": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1558305201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MILL STREET",
            "address_2": "P.O. BOX 178",
            "city": "WILMOT",
            "state": "OH",
            "postal_code": "44689",
            "telephone_number": "330-359-5995",
            "fax_number": "330-359-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MILL STREET",
            "city": "WILMOT",
            "state": "OH",
            "postal_code": "44689",
            "telephone_number": "330-359-5995",
            "fax_number": "330-359-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMOT FIRE & RESCUE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EMS LIASON",
        "authorized_official_telephone_number": "330-359-5995"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151866",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "AN94184570001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590009783",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMETOWN HEALTH NETWORK",
            "identifier": "Q015454",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Venessa Schrader

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.