Organization Active NPI

City of Blue Ash

  • Ambulance
  • Blue Ash, OH
National Provider Identifier
1609863471
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF BLUE ASH
Practice address
10647 Kenwood Rd
Blue Ash, OH 45242-3846
Phone
(513) 745-8533
Fax
(513) 794-3496
NPI assigned
Oct 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Matthew Sanders
Title
Fire Chief
Phone
(513) 745-8533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

10647 Kenwood Rd
Blue Ash, OH 45242-3846

Mailing address

PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484

Other identifiers 2

IdentifierTypeStateIssuer
2522345MedicaidOH
000000350794OtherOHANTHEM BCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040803001481 OH Part B Supplier - Ambulance Service Supplier 9032180013 Practice locations: Blue Ash, OH; Cincinnati, OH

National Provider Directory

National Provider Directory

Locations

10647 Kenwood Rd
Blue Ash, OH 45242
Phone (513) 745-8533

4343 Cooper Rd
Cincinnati, OH 45242
Phone (513) 745-8533

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1609863471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519907",
            "telephone_number": "800-962-1484",
            "fax_number": "513-772-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10647 KENWOOD RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452423846",
            "telephone_number": "513-745-8533",
            "fax_number": "513-794-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BLUE ASH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "513-745-8533"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2522345",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000350794",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.