Organization Active NPI

City of Wilmington

Doing business as Wilmington Fire Dept.

  • Land Ambulance
  • Wilmington, OH
National Provider Identifier
1649262460
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
020326901 Issued in OH
Legal business name
CITY OF WILMINGTON
Doing business as
Wilmington Fire Dept.
Practice address
46 E Sugartree St
Wilmington, OH 45177-2331
Phone
(937) 382-2244
NPI assigned
Aug 18, 2005
Last updated
May 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Andy Mason
Title
Fire Chief
Phone
(937) 382-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 020326901 OH Primary

Addresses

Primary practice location

46 E Sugartree St
Wilmington, OH 45177-2331

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
000000289558OtherOHANTHEM
2426824MedicaidOH

Other names 1

  • Wilmington Fire Dept. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050104000522 OH Part B Supplier - Ambulance Service Supplier 0244288587 Practice locations: Wilmington, 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
36D2177812City of Wilmington Fire Department46 E Sugartree Street, Wilmington, OH 45177Certificate of waiverJan 20, 2028

National Provider Directory

National Provider Directory

Locations

2415 Rombach Ave
Wilmington, OH 45177
Phone (937) 382-2244

46 E Sugartree St
Wilmington, OH 45177
Phone (937) 382-2244

69 N South St
Wilmington, OH 45177

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1649262460",
    "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": "46 E SUGARTREE ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772331",
            "telephone_number": "937-382-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WILMINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "937-382-2244"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "020326901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000289558",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2426824",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilmington Fire Dept.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.