Bethlehem Fire & Rescue, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

020304250 Issued in OH

Legal business name

BETHLEHEM FIRE & RESCUE, INC.

Practice address

34 Main St S
Navarre, OH 44662-1141

Phone

(330) 879-5800

Fax

(330) 879-5815

NPI assigned

Nov 13, 2006

Last updated

Jul 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rick Annen

Title

EMS Billing Coordinator

Phone

(330) 879-5800

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1578634655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MAIN ST S",
            "city": "NAVARRE",
            "state": "OH",
            "postal_code": "446621141",
            "telephone_number": "330-879-5800",
            "fax_number": "330-879-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MAIN ST S",
            "city": "NAVARRE",
            "state": "OH",
            "postal_code": "446621141",
            "telephone_number": "330-879-5800",
            "fax_number": "330-879-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHLEHEM FIRE & RESCUE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "ANNEN",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "EMS BILLING COORDINATOR",
        "authorized_official_telephone_number": "330-879-5800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "020304250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE",
            "identifier": "590013878",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2691994",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000155935",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rochelle Weikers Coleman, ED.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.