Active NPI
Village of Lewisburg
Doing business as Lewisburg Fire/EMS
- Ambulance
- Lewisburg, OH
National Provider Identifier
1649262866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 02-0707100
- Legal business name
- VILLAGE OF LEWISBURG
- Doing business as
- Lewisburg Fire/EMS
- Practice address
- 116 S Commerce St
Lewisburg, OH 45338-0697 - Phone
- (937) 962-4640
- Fax
- (937) 962-4545
- NPI assigned
- Aug 16, 2005
- 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
- Robert Sewert
- Title
- Chief
- Phone
- (937) 962-4640
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 02-0707100 | OH | Primary |
Addresses
Primary practice location
116 S Commerce St
Lewisburg, OH 45338-0697
Mailing address
PO Box 687
Lewisburg, OH 45338-0687
Phone (937) 962-4640
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000217680 | Other | OH | ANTHEM |
| 2322436 | Medicaid | OH | |
| 590015234 | Other | OH | RAILROAD MEDICARE |
Other names 1
- Lewisburg Fire/EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040315001102 | OH | Part B Supplier - Ambulance Service Supplier | 1759270796 | Practice locations: Lewisburg, OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731974400000",
"number": "1649262866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 687",
"city": "LEWISBURG",
"state": "OH",
"postal_code": "453380687",
"telephone_number": "937-962-4640",
"fax_number": "937-962-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 S COMMERCE ST",
"city": "LEWISBURG",
"state": "OH",
"postal_code": "453380697",
"telephone_number": "937-962-4640",
"fax_number": "937-962-4545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF LEWISBURG",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-16",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A",
"authorized_official_last_name": "SEWERT",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "937-962-4640"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "OH",
"license": "02-0707100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000217680",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2322436",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590015234",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lewisburg Fire/EMS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lewisburg Fire/EMS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lewisburg, 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.