Village of Weston Ohio
Organization Active NPI Land Ambulance · Weston, OH
NPI 1558359166 · NPPES record last updated May 14, 2024
Key facts
- NPI
- 1558359166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- VILLAGE OF WESTON OHIO
- Practice address
- 20761 Taylor St.
Weston, OH 43569 - Phone
- (419) 669-3723
- Fax
- (419) 669-8046
- NPI assigned
- Oct 7, 2005
- Organization subpart
- No
Authorized official
- Name
- Stephanie Monts
- Title
- Fiscal Officer
- Phone
- (419) 669-3224
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2123657 | Weston EMS | Certificate of waiver | Dec 27, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050128000455 | OH | Part B Supplier - Ambulance Service Supplier | 7911957741 | Practice locations: Weston, OH |
National Provider Directory
Locations
20761 Taylor St
Weston, OH 43569
Phone (419) 669-3224
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
20761 Taylor St.
Weston, OH 43569
Mailing address
PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0510049 | Medicaid | OH | |
| 000000156079 | Other | OH | ANTHEM BLUE CROSS |
Other names
- Weston EMS or Village of Weston Ambulance
Other providers in Weston, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.