Organization Active NPI

Adamsville Community Fire Dept & Emergency Squad Inc

  • Land Ambulance
  • Adamsville, OH
National Provider Identifier
1558560565
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS.020392700 Issued in OH
Legal business name
ADAMSVILLE COMMUNITY FIRE DEPT & EMERGENCY SQUAD INC
Practice address
5345 Mollies Rock Rd
Adamsville, OH 43802-9794
Phone
(740) 796-3371
Fax
(740) 754-1812
NPI assigned
Jul 11, 2007
Last updated
Jun 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Katy Paumier
Title
Finance MGR
Phone
(614) 314-4286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMS.020392700 OH Primary

Addresses

Primary practice location

5345 Mollies Rock Rd
Adamsville, OH 43802-9794

Mailing address

PO Box 305
Adamsville, OH 43802-0305
Phone (740) 796-3371

Other identifiers 1

IdentifierTypeStateIssuer
0626522MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051117000001 OH Part B Supplier - Ambulance Service Supplier 4688693898 Practice locations: Adamsville, OH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1558560565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "ADAMSVILLE",
            "state": "OH",
            "postal_code": "438020305",
            "telephone_number": "740-796-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 MOLLIES ROCK RD",
            "city": "ADAMSVILLE",
            "state": "OH",
            "postal_code": "438029794",
            "telephone_number": "740-796-3371",
            "fax_number": "740-754-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMSVILLE COMMUNITY FIRE DEPT & EMERGENCY SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "PAUMIER",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "FINANCE MGR",
        "authorized_official_telephone_number": "614-314-4286"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "EMS.020392700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0626522",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Adamsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.