Organization Active NPI

Village of Quaker City

  • Land Ambulance
  • Quaker City, OH
National Provider Identifier
1578799136
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
VILLAGE OF QUAKER CITY
Practice address
126 Fair Street
Quaker City, OH 43773-0326
Phone
(740) 213-2503
Fax
(740) 679-3508
NPI assigned
Jun 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Brandy Fulst
Title
Fiscal Officer
Phone
(740) 213-2503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

126 Fair Street
Quaker City, OH 43773-0326

Mailing address

PO Box 156
Quaker City, OH 43773-0156
Phone (740) 213-2503

Other identifiers 1

IdentifierTypeStateIssuer
3085110MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090713000359 OH Part B Supplier - Ambulance Service Supplier 2466504071 Practice locations: Quaker City, 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": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1578799136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 156",
            "city": "QUAKER CITY",
            "state": "OH",
            "postal_code": "437730156",
            "telephone_number": "740-213-2503",
            "fax_number": "740-679-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 FAIR STREET",
            "city": "QUAKER CITY",
            "state": "OH",
            "postal_code": "437730326",
            "telephone_number": "740-213-2503",
            "fax_number": "740-679-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF QUAKER CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "FULST",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "740-213-2503"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3085110",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quaker City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.