Organization Active NPI

East Wayne Fire District

  • Ambulance
  • Dalton, OH
National Provider Identifier
1609274869
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
022452200 Issued in OH
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P01739258OtherOHRAILROAD MEDICARE
0152167MedicaidOH

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.