Organization Active NPI

Osgood Area Life Squad Inc

  • Land Ambulance
  • Osgood, OH
National Provider Identifier
1609919018
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
OSGOOD AREA LIFE SQUAD INC
Practice address
125 W Main St
Osgood, OH 45351-0101
Phone
(419) 582-2216
NPI assigned
Feb 15, 2007
Last updated
Jul 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Authorized official

Name
Cyril Pleiman
Title
Board President
Phone
(419) 582-2304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

125 W Main St
Osgood, OH 45351-0101

Mailing address

PO Box 101
Osgood, OH 45351-0101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111107000710 OH Part B Supplier - Ambulance Service Supplier 5193998110 Practice locations: Osgood, OH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1609919018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101",
            "city": "OSGOOD",
            "state": "OH",
            "postal_code": "453510101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W MAIN ST",
            "city": "OSGOOD",
            "state": "OH",
            "postal_code": "453510101",
            "telephone_number": "419-582-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSGOOD AREA LIFE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "PLEIMAN",
        "authorized_official_first_name": "CYRIL",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "419-582-2304"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osgood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.