Active NPI
East Holmes Fire & EMS District
- Land Ambulance
- Millersburg, OH
National Provider Identifier
1568688935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- EAST HOLMES FIRE & EMS DISTRICT
- Practice address
- 5257 County Road 77
Millersburg, OH 44654-9274 - Phone
- (330) 893-2117
- Fax
- (330) 893-3018
- NPI assigned
- Apr 17, 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
- Mr. Ervin C Yoder
- Title
- Fiscal Officer
- Phone
- (330) 893-2349
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
5257 County Road 77
Millersburg, OH 44654-9274
Mailing address
PO Box 428
Berlin, OH 44610-0428
Phone (330) 893-2349
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0959217 | 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 |
|---|---|---|---|---|
| O20120215000252 | OH | Part B Supplier - Ambulance Service Supplier | 5991963340 | Practice locations: Millersburg, OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1568688935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 428",
"city": "BERLIN",
"state": "OH",
"postal_code": "446100428",
"telephone_number": "330-893-2349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5257 COUNTY ROAD 77",
"city": "MILLERSBURG",
"state": "OH",
"postal_code": "446549274",
"telephone_number": "330-893-2117",
"fax_number": "330-893-3018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST HOLMES FIRE & EMS DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "YODER",
"authorized_official_first_name": "ERVIN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "FISCAL OFFICER",
"authorized_official_telephone_number": "330-893-2349",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0959217",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Millersburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.