Organization Active NPI

City of Oakwood

Doing business as City of Oakwood Safety Division

  • Ambulance
  • Dayton, OH
National Provider Identifier
1619977857
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF OAKWOOD
Doing business as
City of Oakwood Safety Division
Practice address
30 Park Ave
Dayton, OH 45419-3426
Phone
(937) 298-2122
NPI assigned
Jul 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Alan J. Hill
Title
Chief
Phone
(937) 298-2122

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 02-0312450 OH
Ambulance 341600000X FCY.020312450-13 OH
Ambulance 341600000X Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

30 Park Ave
Dayton, OH 45419-3426

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
2537697MedicaidOH
P00381384OtherOHRAILROAD MEDICARE
000000360433OtherOHANTHEM

Other names 1

  • City of Oakwood Safety Division Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050114000604 OH Part B Supplier - Ambulance Service Supplier 6901855162 Practice locations: Oakwood, OH

National Provider Directory

National Provider Directory

Locations

30 Park Ave
Oakwood, OH 45419
Phone (937) 298-0402

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1619977857",
    "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": "833-953-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PARK AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454193426",
            "telephone_number": "937-298-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF OAKWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "937-298-2122"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "02-0312450",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "FCY.020312450-13",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2537697",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00381384",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000360433",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Oakwood Safety Division",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.