Farmersville Fire Association Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

02034675013 Issued in OH

Legal business name

FARMERSVILLE FIRE ASSOCIATION INC

Practice address

207 N Elm St
Farmersville, OH 45325-1120

Phone

(937) 696-2863

Fax

(937) 696-9067

NPI assigned

Aug 17, 2005

Organization subpart

No

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

Authorized official

Name

Jeffrey Ersiman

Title

Fire Chief

Phone

(937) 696-2863

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1578555454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N ELM ST",
            "city": "FARMERSVILLE",
            "state": "OH",
            "postal_code": "453251120",
            "telephone_number": "937-696-2863",
            "fax_number": "937-696-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N ELM ST",
            "city": "FARMERSVILLE",
            "state": "OH",
            "postal_code": "453251120",
            "telephone_number": "937-696-2863",
            "fax_number": "937-696-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMERSVILLE FIRE ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "ERSIMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "937-696-2863"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "02034675013",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000246593",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2378770",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590015514",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Boyd
• Rachel Britt, NP
• Emerald Care Transportation, LLC
• Michele Elaine Hoog
• Kathleen Elise Monnig
• Dorene Moore, FNP-BC
• Candace Norman, MED, AT
• Samantha Anne Ojanama, MSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.