Active NPI
Osgood Area Life Squad Inc
- Land Ambulance
- Osgood, OH
National Provider Identifier
1609919018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2011
- 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
- Cyril Pleiman
- Title
- Board President
- Phone
- (419) 582-2304
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111107000710 | OH | Part B Supplier - Ambulance Service Supplier | 5193998110 | Practice locations: Osgood, OH |
National Provider Directory
National Provider DirectoryNPI 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.