Active NPI
Brushcreek Life Squad
- Ambulance
- Sinking SPG, OH
National Provider Identifier
1568662005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 020856300
- Legal business name
- BRUSHCREEK LIFE SQUAD
- Practice address
- 31 Grand St
Sinking SPG, OH 45172 - Phone
- (937) 466-2520
- NPI assigned
- Jul 23, 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
- Danny McBee
- Title
- Chief
- Phone
- (937) 466-2520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 020856300 | OH | Primary |
Addresses
Primary practice location
31 Grand St
Sinking SPG, OH 45172
Mailing address
PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590006181 | Other | OH | RAILROAD MEDICARE |
| 0352498 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080423000010 | OH | Part B Supplier - Ambulance Service Supplier | 0749368330 | Practice locations: Sinking Spring, OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716422400000",
"number": "1568662005",
"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",
"fax_number": "513-772-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 GRAND ST",
"city": "SINKING SPG",
"state": "OH",
"postal_code": "45172",
"telephone_number": "937-466-2520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUSHCREEK LIFE SQUAD",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-23",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A",
"authorized_official_last_name": "MCBEE",
"authorized_official_first_name": "DANNY",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "937-466-2520"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "OH",
"license": "020856300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590006181",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0352498",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.