Organization Active NPI

City of Wyoming

  • Ambulance
  • Cincinnati, OH
National Provider Identifier
1609865476
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF WYOMING
Practice address
600 Grove Ave
Cincinnati, OH 45215-2762
Phone
(513) 821-6836
Fax
(513) 821-8609
NPI assigned
Oct 14, 2005
Last updated
May 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Jeremiah Caudill
Title
Finance Director
Phone
(513) 821-6836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

600 Grove Ave
Cincinnati, OH 45215-2762

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
000000021412OtherOHANTHEM BCBS
590011917OtherOHRAILROAD MEDICARE
153650001OtherOHCARESOURCE
2089092MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091027000036 OH Part B Supplier - Ambulance Service Supplier 7214074129 Practice locations: Cincinnati, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0698607City of Wyoming EMS600 Grove Avenue, Wyoming, OH 45215Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

600 Grove Ave
Cincinnati, OH 45215
Phone (513) 821-6836

800 Oak Ave
Wyoming, OH 45215
Phone (513) 821-2428

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1609865476",
    "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": "600 GROVE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452152762",
            "telephone_number": "513-821-6836",
            "fax_number": "513-821-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WYOMING",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "CAUDILL",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "513-821-6836"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000021412",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590011917",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "153650001",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2089092",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.