Active NPI
Village of Quaker City
- Land Ambulance
- Quaker City, OH
National Provider Identifier
1578799136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3085110 | 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 |
|---|---|---|---|---|
| O20090713000359 | OH | Part B Supplier - Ambulance Service Supplier | 2466504071 | Practice locations: Quaker City, OH |
National Provider Directory
National Provider DirectoryNPI 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.