Village of New Waterford

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

VILLAGE OF NEW WATERFORD

Doing business as

New Waterford E.M.S.

Practice address

3766 East Main St
New Waterford, OH 44445-9762

Phone

(330) 457-2225

Fax

(330) 457-9497

NPI assigned

Oct 6, 2005

Last updated

May 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David A Slagle

Title

Fiscal Officer

Phone

(330) 457-2412

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• New Waterford E.M.S. Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1619965464",
    "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": "15251",
            "telephone_number": "800-962-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3766 EAST MAIN ST",
            "city": "NEW WATERFORD",
            "state": "OH",
            "postal_code": "444459762",
            "telephone_number": "330-457-2225",
            "fax_number": "330-457-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF NEW WATERFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "SLAGLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "330-457-2412",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0858755",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Waterford E.M.S.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Waterford E.M.S.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Martsolf, CNP
• Melinda Mayer, COTA/L
• Primary Convenient Care Corporation
• Carrie Root
• Ellen Thompson
• Hannah E Vollnogle, LPCC-S
• Bridget Mary Wolsonovich

• Land Ambulance in New Waterford, OH
• Providers in New Waterford, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.