Active NPI
East Wayne Fire District
- Ambulance
- Dalton, OH
National Provider Identifier
1609274869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 022452200
- Legal business name
- EAST WAYNE FIRE DISTRICT
- Practice address
- 146 North Church Street
Dalton, OH 44618-0134 - Phone
- (330) 828-8236
- Fax
- (330) 828-2998
- NPI assigned
- Dec 19, 2014
- Last updated
- Jul 13, 2023
- 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
- Shawn M McKelvey
- Title
- Fiscal Officer
- Phone
- (330) 828-8236
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 022452200 | OH | Primary |
| Ambulance | 341600000X | 022452201 | OH |
Addresses
Primary practice location
146 North Church Street
Dalton, OH 44618-0134
Mailing address
PO Box 134
Dalton, OH 44618-0134
Phone (330) 828-8236
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01739258 | Other | OH | RAILROAD MEDICARE |
| 0152167 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689206400000",
"number": "1609274869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 134",
"city": "DALTON",
"state": "OH",
"postal_code": "446180134",
"telephone_number": "330-828-8236",
"fax_number": "330-828-2998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 NORTH CHURCH STREET",
"city": "DALTON",
"state": "OH",
"postal_code": "446180134",
"telephone_number": "330-828-8236",
"fax_number": "330-828-2998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST WAYNE FIRE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-19",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A",
"authorized_official_last_name": "MCKELVEY",
"authorized_official_first_name": "SHAWN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "FISCAL OFFICER",
"authorized_official_telephone_number": "330-828-8236"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "OH",
"license": "022452200",
"primary": true
},
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "OH",
"license": "022452201",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01739258",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0152167",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.